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Careline Homecare Darlington Good

Inspection Summary


Overall summary & rating

Good

Updated 30 March 2018

This was an announced inspection. We visited the provider's offices on 23 February 2018 and made calls to people using the service and staff and from 14 February 2018. The provider was given notice of the inspection because they provide community services and we needed to be sure that someone would be in.

This was the first inspection of the service since their registration with the Care Quality Commission (CQC). .

Careline Homecare Darlington is a domiciliary care agency which is registered to provide personal care. The service provides support to people with varying disabilities (aged 18 and above), who live in their own home. The service operates 24 hours per day, seven days per week. The care packages are set up following an assessment of people's needs and support can be provided throughout the day and night. At the time of our inspection there were over 190 people receiving support from Careline Homecare Darlington, of whom 142 people received personal care services.

There was a 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.

There were robust staff recruitment and assessment processes in place.

People who used the service told us that there were enough staff available to support them and on the whole staff turned up on time. People were provided with continuity of care because a core group of staff were allocated to work with the same people. People knew their staff team well and spoke positively about them.

The co-ordinator and supervisors were skilled and experienced. They were well supported in carrying out their roles. In turn, they monitored the care packages and provided support and advice to the carers.

Staff were familiar with the safeguarding protocols in place to help keep people safe. They told us that they had received training in this matter and discussed the process with us, giving examples to back up their knowledge.

We checked whether the service was working within the principles of the Mental Capacity Act. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The people using the services of this provider were encouraged and supported to make choices about their care, support and lifestyle. Where people were not able to make decisions about aspects of their life, the service worked with other professionals. This helped to ensure decisions were made appropriately and in the best interests of the person concerned.

People had individualised care plans and risk assessments in place. These helped to make sure people received the support they expected and needed, in a safe way. Medicines were managed safely with administration records well maintained.

People who used the services told us that staff were kind and helpful and that they respected their privacy and dignity.

There were policies and procedures in place to help ensure the service operated effectively. Staff were supported and supervised in their work. Supervision of staff helps to make sure that they work safely and follow the policies and principles of the service.

There was a complaints process in place at the service. Records were kept about complaints and these included the details of actions taken, outcomes and learning points. The provider shares all information about lessons learnt with every branch so all can make improvements to their systems.

The provider had processes in place for monitoring the quality of the service. There were systems in place to support people using the services to give their opinions about the standard and quality of the service they received.

Inspection areas

Safe

Good

Updated 30 March 2018

The service was safe.

People told us they felt safe. There were safeguarding policies and procedures in place. Staff knew how to raise a concern.

The medicines staff were responsible for administering were safely and appropriately managed.

Staff had received training in relation to safeguarding and keeping people safe. They understood the actions they needed to take to ensure people were kept free from harm.

Procedures were in place to ensure all staff were subject to proper employment checks before commencing employment.

Effective

Good

Updated 30 March 2018

The service was effective

Staff were provided with regular training and were clear about their roles and responsibilities.

People were supported with decision making and staff were very clear regarding their role and responsibilities in relation to consent and capacity.

People were supported to take a healthy diet.

Caring

Good

Updated 30 March 2018

The service was caring.

People told us that their support workers treated them with respect and that they were encouraged to maintain their independence.

People were supported by staff that knew and understood their life history, preferences, needs and wishes.

Staff spoke about the people they supported in a respectful manner. They were mindful of the importance of maintaining people’s independence and well-being.

Responsive

Good

Updated 30 March 2018

The service was responsive.

The service had a complaints process in place and appropriate action was taken to deal with any concerns.

People were supported to access other health and social care services where necessary.

Care and support was tailored to meet the needs of each individual and so different types of care package were provided.

Well-led

Good

Updated 30 March 2018

The service was well led.

Documents kept at people’s own home were up to date and detailed.

The service had systems in place to help monitor and improve the quality of the service. People who used services were provided with opportunities to comment on the standard of the service they received.

There were policies and procedures in place to help ensure the service operated effectively and to a safe standard. Checks were in place to help ensure staff worked safely and in line with the policies of the service.