Background to this inspection
Updated
3 January 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.
This announced inspection was carried out on 20 and 21 December 2018. The provider was given 48 hours’ notice because we wanted to make sure the registered manager and staff would be available to speak with us. The inspection was carried out by one adult social care inspector.
This was the first rated inspection at Kare Plus, Oldham.
Before the inspection we reviewed any information we held about the service in the form of notifications received from the provider. We also reviewed any safeguarding or whistleblowing information we had received and any complaints about the service. We liaised with stakeholders who were involved with the service including the local authority. This helped us determine if there might be any specific areas to focus on during the inspection. Prior to the inspection the service completed a Provider Information Return (PIR), which is a form that asks the provider to give some key information about the service.
At the time of the inspection the service provided care and support to eight people in the surrounding area. As part of the inspection we spoke with the registered manager, a director, a care coordinator, a field supervisor and four staff members. We also spoke with four people who used the service; this was to seek feedback about the service provided from a range of different people and help inform our inspection judgements. We also spoke with two health and social care professionals who had liaised with the service.
During the inspection we viewed four care plans, two staff personnel files, policies and procedures and other documentation relating to the running of the service, such as satisfaction surveys, complaints, spot checks/observations and risk assessments.
Updated
3 January 2019
We carried out an announced inspection at Kare Plus, Oldham on 21 and 22 December 2018.
Kare Plus, Oldham is a domiciliary care service providing personal care and support to people in their own homes. The office is based in Oldham. At the time of our inspection care was being provided to eight people.
The service was registered 25 November 2016. This was their first rated inspection.
A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered manager and staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. Checks were carried out on staff to assess their suitability to support vulnerable people.
The service was responsive and people received individualised care and support. People were encouraged to make their views known and the service responded by making changes. The registered manager welcomed comments and complaints and saw them as an opportunity to improve the care provided.
Staff received regular supervision and training to carry out their role effectively.
Staff were recruited safely and there were enough staff to make sure people had the care and support they needed.
Systems to ensure medicines were managed safely were in place however, the service was not supporting people with medicines at the time of the inspection.
People knew how to complain and raise any concerns. People and their relatives did not raise any concerns with us.
The registered manager and staff understood the principles of the Mental Capacity Act (MCA) 2005 and worked to ensure people's rights were respected.
People were cared for by staff who knew them well. Staff treated people with dignity and respect. The manager and staff had a good understanding of equality, diversity and human rights.
The vision and values of the service were clearly communicated to and understood by staff. A quality assurance system was in place. This meant the quality of service people received was monitored on a regular basis and where shortfalls were identified they were acted upon.
Kare plus, Oldham had a comprehensive business continuity plan in place to prepare the service in case of unforeseen circumstances and emergencies.
The culture within the service was personalised and open. There was a clear management structure and staff felt well supported and listened to.