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The People's Choice (Sussex) Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 29 August 2018

The inspection took place on 08 June 2018. The inspection was announced.

This service is a domiciliary care agency. The People’s Choice is a care agency that provides care services to people in their own homes mainly in the Seaford and Newhaven areas. Not everyone using the service receives a regulated activity of 'personal care.' CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and administration of medicines. At the time of inspection, four people were receiving personal care in their own homes. People employ their own staff and pay for their own care. This service only provides specific personal care tasks that cannot be provided by people's own staff because they are not registered for the regulated activity of 'personal care.'

This was the first comprehensive inspection following a change of legal entity and new registration on 24 April 2017.

The provider was the registered manager at the service. 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 care was predominantly delivered by two members of staff and the registered manager of the service. The registered manager was supported to manage the administration of staff training and recruitment checks by an office administrator.

People were supported to make their own decisions about their care or had a family member who helped them. The registered manager was aware of their responsibilities within the principles of the Mental Capacity Act 2005 if people required a mental capacity assessment to test their capacity.

People consented to their care. Staff were caring and compassionate. Staff were trusted and respected people's privacy and dignity.

Risks associated with people's care and support were managed safely.

The providers policies, training and work practices were designed to keep people safe from abuse or harm.

Suitable arrangements were in place in relation to the safe administration and recording of medicines.

Experienced and skilled staff were deployed in response to people’s assessed needs and choices.

Staff followed infection control guidance to minimise cross infection risks.

Staff performance and development was supported through supervision meetings which took place on a regular basis.

People's care plans contained enough information about their personal preferences and focussed on individual needs.

People's feedback was sought and used to improve the care provided.

There was a complaints policy in place and people knew how to make a complaint.

The provider had a set of values the staff understood and included protecting people's human rights. The registered manager regularly assessed and monitored the quality of care to ensure standards were met and maintained.

The registered manager understood the requirements of their registration with CQC.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 29 August 2018

The service was safe.

The systems in place to manage risk had ensured that people were kept safe.

The registered manager and staff were committed to preventing abuse. Medicines were administered by competent staff.

Recruitment processes for new staff were robust and staff arrived to deliver care with the right skills and in the numbers needed to keep people safe.

Effective

Good

Updated 29 August 2018

The service was effective.

People’s needs were assessed.

People accessed routine and urgent medical attention or referrals to health care specialists when needed.

People were cared for by staff who knew their needs well.

Staff encouraged people to eat and drink enough.

Staff met with their managers to discuss their work performance and each member of staff had attained the skills they required to carry out their role.

The principals of the Mental Capacity Act 2005 were understood and staff received training about this.

Caring

Good

Updated 29 August 2018

The service was caring.

People felt that staff were kind, caring and respectful.

Staff protected people’s privacy and dignity, and encouraged them to retain their independence where possible.

People or their relatives were fully involved in making decisions about their care and staff took account of their individual needs and preferences.

Responsive

Good

Updated 29 August 2018

The service was responsive.

Staff provided care to people as individuals.

People were provided with care when they needed it based on a care plan about them.

Information about people was updated often and with their involvement so that staff only provided care that was up to date.

People were encouraged to raise any issues they were unhappy about.

Well-led

Good

Updated 29 August 2018

The service was well led.

The aims and values of the organisation were shared by staff and this culture was reflected in people’s experiences of the service.

The registered manager operated systems and policies that were effective and focused on the quality of service delivery.

There were clear structures in place to monitor and review the risks that may present themselves as the service was delivered.

Staff understood they were accountable for the quality of the care they delivered.