You are here

Archived: Kardinal Healthcare Limited Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 18 September 2018

This announced inspection took place between the 14 and 21 August 2018. The office visit took place on 21 August 2018.

Kardinal is a domiciliary care agency and provides personal care to people living in their own homes. It provides a service to older adults, people who lived with dementia, people who lived with learning disabilities and younger adults with physical disabilities. At the time of the inspection, the service was supporting 149 people in We are Arun, Adur and Worthing. Not everyone using Kardinal Healthcare Limited receives a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating and drinking.

At the last inspection in June 2016, the service was rated Good. The key question well-led required improvement as there was no registered manager.

There was now a registered manager in post. 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 and associated Regulations about how the service is run.

At this inspection we found the service remained Good.

People told us they were very satisfied with the care and support that Kardinal Healthcare Limited provided. People told us, “Yes they just make sure I am comfortable and safe for the day,” and, “Very safe.”

There were systems to protect people from harm, including how medicines were managed. Staff had been trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team. Safe recruitment processes were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people. Risks to people's safety were assessed and managed to keep them safe. People were supported by sufficient numbers of a well-trained staff group who arrived on time and supported them in the time allocated in their care package. People who received medicines were supported in a safe way as staff had had the necessary training to administer medicines safely. They were protected from the risks of infection through good working practices by staff.

People's care was delivered in line with legislation and evidenced based practice. People who used the service had the capacity to make decisions about what they did and the choices they made. Staff understood the requirements under the Mental Capacity Act 2005 and about people’s capacity to make decisions. People were supported to have choice and control of their lives and staff supported people in the least restrictive way possible: the policies and systems supported this practice. Staff received regular training in all aspects of their role and received regular supervision from the registered manager. Where people were supported with their nutritional needs, staff showed a good awareness of their dietary needs and where to get further support should this be required. Staff worked with people, their relatives and health professionals to manage people's health needs, making appropriate referrals for individuals when necessary.

People told us they were treated with kindness and said their privacy and dignity was respected. Comments included, “It makes me feel that I have someone there, someone to turn to if needed.”

Staff had an understanding of legislation designed to protect people’s rights and were clear that people had the right to make their own choices. Staff had developed meaningful relationships with people they supported. Staff knew people well and had a caring approach. People were treated with dignity and respect.

Care plans provided information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs. Changes in people’s health care needs and their support was reviewed when required. People were involved in reviewing care plans with the management team.

People’s views about the quality of the service were obtained informally through discussions with the registered manager, annual care reviews and formally through questionnaires. Staff felt supported by the registered manager and could visit the office to discuss any concerns.

There were systems to monitor the quality and safety of the service provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.

Inspection areas

Safe

Good

Updated 18 September 2018

Kardinal Healthcare Limited remains Good

People told us they felt safe and staff knew what to do if they thought someone�s safety was at risk. The provider had an appropriate safeguarding policy and

procedure in place and care workers had a good understanding of their responsibilities.

Risks to people's safety were managed appropriately and risk management guidelines were in place.

Effective

Good

Updated 18 September 2018

Kardinal Healthcare Limited remains Good.

People were asked for their consent. The registered manager and staff had a good understanding of the Mental Capacity Act 2005.

People were able to make decisions about what they wanted to eat and drink and were supported to stay healthy. They had access to health care professionals for regular check-ups as needed.

Staff received training which was appropriate to their job role. They had regular supervisions with their manager, and formal personal development plans, such as annual appraisals.

Caring

Good

Updated 18 September 2018

Kardinal Healthcare Limited remains Good.

Staff knew people well and had good relationships with them. People told us they were treated with respect and dignity.

Responsive

Good

Updated 18 September 2018

Kardinal Healthcare Limited remains Good

People were able to express their views about their choices and preferences. People knew how to make a complaint and said they would feel confident to

do so if they needed to.

Well-led

Good

Updated 18 September 2018

Kardinal Healthcare Limited has improved to Good

There was now a registered manager in post. The registered manager, staff and provider encouraged people, their relatives and friends to be involved in developing the service. A quality assurance and monitoring system was in place and the registered manager used this to identify areas that could improve.