Solutions 4 Care Limited

Updated 10 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One inspector carried out this inspection on the 12 March 2019. This was the first inspection of the service since registering with us on 09/02/2017

Service and service type:

Solutions 4 Care is a domiciliary care service providing support to people living their own home. The service had a manager registered with the Care Quality Commission. This meant that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the provider 48 hours’ notice that we would be visiting the service because we wanted to make sure staff and people would be available for us to speak with. At the time of the inspection there were 14 people using the service.

What we did:

We reviewed information we had received about the service since they were registered with us. This included details about incidents the provider must notify us about, such as allegations of abuse and we sought feedback from the local authority and other professionals who work with the service.

We spoke with 13 people who use the service or their relatives. Six staff, three healthcare professionals and the registered manager. We used this information to form part of our judgement. We sampled three peoples care and medication records to see how their care and treatment was planned and delivered. Other records looked at included three recruitment files to check suitable staff members were safely recruited and received appropriate training. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service.

Updated 10 April 2019

This inspection took place on 12 March 2019 and was announced. We gave the provider 48-hour notice so we could be sure someone would be available to meet with us. The inspection was completed by one inspector. This inspection was the first inspection since the organisation registered with us 09/02/2017

About the service:

Solution 4 Care is a domiciliary care agency. It provides personal care to people living in their own homes. On the day of inspection, the agency was providing care to 14 people. There was 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 2008 and associated Regulations about how the service is run.'

People’s experience of using this service:

The feedback we received from people and their relatives was consistently good. People told us that us that they were well cared for and safe. There were sufficient staff available to support people and calls were completed on time. People reported no missed calls so people felt safe and their care needs were met. People told us they felt well cared for and looked after by the staff team and were treated with respect and dignity. People and their relatives knew how to complain and had no concerns about how the service was being led and managed. The staff team were vigilant to people’s health needs and made prompt referrals to the registered manager, relatives and external healthcare professionals if required. People had support with their medication when required from staff that had been appropriately trained. Staff received training that was appropriate and supported them in providing care in the way people wanted. Risks associated with peoples care had been assessed and monitored to protect people from the risk of avoidable harm. Staff were aware of how to protect people from the risk of abuse and effective reporting systems were in place to support them. The registered manager ensured only suitable people worked at the agency by ensuring recruitment check were thoroughly completed. People received care that was in line with their needs and individual preferences. Care plans were reflective of people's current needs and staff took time to ensure care plans were amended when people’s needs changed. Concerns and complaints were addressed quickly. People and their relatives thought highly of the staff team and said that the staff were very kind, caring and made them feel valued. Staff ensured people had access to equipment which they could use to maintain their independence. The registered manager was approachable and relatives and staff were happy with the way the service was being led. The manager had created an open culture where concerns could be raised and areas for improvement addressed.

About the service:

Rating at last inspection: This was the service first inspection since registration

Why we inspected: This was a planned inspection.

Enforcement No action

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner. For more details, please see the full report which is on the CQC website at www.cqc.org.uk