We carried out a review of the data available to us about Crystal Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Crystal Care, you can give feedback on this service.
Kare Plus Wirral is a domically care agency based in Merseyside which provides personal care to adults in their own homes. At the time of the inspection the service supported 60 people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do receive personal care we also consider any wider social care provided.
People’s experience of using this service and what we found
People confirmed they received their medications on time. Staff knew how to report safeguarding concerns and staff were recruited safely. Everyone we spoke with told us they felt safe receiving care from Kare Plus Wirral. There were comprehensive risk assessments in place which were tailored to reflect each person’s assessed need. Staff were on time for their calls, and there was travel time built into rotas.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. People were supported to eat, and drink where needed, and staff were trained, supervised and appraised in line with the policy of the organisation.
People’s diverse needs were catered for and staff treated people with kindness and dignity, and people confirmed they were involved in choices and decisions regarding their care and support. People told us staff were friendly and they enjoyed seeing them and interacting with them.
Care plans were person cantered and reflected the needs of each person. Routines were discussed with people, and they had been involved in completing their care plans. Relatives confirmed communication from staff was good, and staff supported people to make healthcare appointments were needed. People had access to the providers complaints policy. Staff were trained in end of life care.
There were audits and quality checks in place, complete with action plans, which had been improved since the last inspection. The registered manager had reported all concerns to CQC in line with guidance. Staff we spoke with said the culture of the organisation was friendly and relaxed. The provider sought feedback and used this to further develop and improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good. (Report published 21 April 2017)
This was a planned inspection based on the previous rating. We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Kare Plus Wirral provides care and support to people living in their own homes across the Wirral. At the time of our visit, the agency was providing support for approximately 28 people and employed 23 support staff.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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 response from people who spoke with the expert by experience was mainly positive and everyone described the staff as kind and caring.
The care records we looked at showed that people were involved in decisions about their care and support. The care records contained detailed information about the support people required and were written in a person-centred style.
The provider had systems in place to ensure that people were protected from the risk of harm or abuse. We saw there were policies and procedures in place to guide staff in relation to safeguarding adults. We found that good recruitment practices were in place which included the completion of pre-employment checks prior to a new member of staff working at the service.
Procedures were in place for the safe management of people's medication when required and staff received medication training.
Staff received a comprehensive training programme to enable them to work safely and effectively.
Internal quality monitoring systems were still being developed to ensure that the service people received was reviewed with them on a regular basis.