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

Reports


Inspection carried out on 17 December 2019

During a routine inspection

About the service

Care4u2day Limited is a domiciliary care agency providing personal care. At the time of the inspection they were supporting 24 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 we also consider any wider social care provided.

People’s experience of using this service and what we found

People consistently told us they were safe and trusted their care staff. Staff had a good understanding of what to do to help make sure people were protected from harm and knew how to raise an alert or any concerns they may have had. Risks to people's health and welfare were identified and actions taken to mitigate the risk. People received their prescribed medicines safely, from staff who had completed the required training and had their competency to do so assessed. Suitable numbers of appropriately recruited staff were available to meet people's needs. Staff adhered to the provider's infection control policy and used the appropriate equipment and clothing, when required. The agency reported, investigated and recorded accidents and incidents and safeguarding concerns.

Staff were trained, supervised, and appraised. People and their relatives praised staff’s knowledge and felt they had the necessary skills to meet people's needs. Staff promoted people's health by supporting people to access health care services when required. They supported people with eating and drinking where this was identified as a need in their care plan. 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; the policies and systems in the service supported this practice.

People told us they were consistently treated with kindness and respect. People were supported to express their views about their care and their wishes were respected. Staff acknowledged and respected people's privacy, dignity and confidentiality. All staff we spoke with demonstrated kindness and spoke respectfully about the people they supported.

People had their needs assessed, reviewed and received personalised care that was responsive to their needs and preferences. People were given enough information to make their own decisions and were given choices and support to follow their routines. Staff enabled people to raise concerns and complaints, which were used to improve people's experience of the care they received.

The service had an open, honest and positive culture with transparent management and leadership. There were quality assurance systems in place to help monitor the quality of the service and identify any areas which might require improvement. There was a clear focus on continually seeking to improve the service people received and maintaining high standards of care. Staff told us they enjoyed working at the service and that they were well supported by the management team.

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 (published 23 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.

Inspection carried out on 19 April 2017

During a routine inspection

We carried out an announced inspection on 19 April 2017, when we visited the offices. We gave 24 hours’ notice to the service because the location provides domiciliary care and we wanted to be sure a member of the management team would be available. Care4u2day Limited provides care and support to people living in their own home. At the time of our inspection 25 people were being supported by Care 4u2day Limited.

The service has a registered manager in place. 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.

We previously inspected Care4u2day Limited in January 2016 and found they were not meeting the standards in relation to effectively monitoring the quality of the service and safe recruitment. This was a breach of Regulation 17 of the Health and Social care Act 2008 (Regulated Activities) regulations 2014 and Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this inspection we found that the service had made the required improvements and were fully compliant with the regulations.

People told us they always feel safe with the staff from care4u2day Limited. Staff knew how to keep people safe and risks to people’s safety and well-being were identified and managed. People’s care records were regularly reviewed and updated to reflect the change in their needs. There were sufficient numbers of staff deployed to support people. The provider had a robust recruitment process which ensured that potential staff where suitable to work with vulnerable people.

People kept their medicines in their own homes and were prompted and or supported by staff to take them and this was managed and recorded appropriately. People were asked for their permission before staff assisted them with care or support.

Staff received intermittent supervision from management which helped them to feel supported and valued. They told us they felt able to seek assistance when they needed to.

People received support to eat and drink regularly and were assisted to access healthcare appointments as needed. People’s privacy and dignity was always respected and promoted. People told us they were treated with kindness and compassion by staff and continuity of staff positively impacted on the ability to develop meaningful relationships with care staff.

People’s care records were regularly updated to provide a detailed account of their needs and care. People told us they felt confident to raise anything that concerned them with staff or management, and any issues were addressed and resolved. Arrangements were in place to obtain feedback from people who used the service; which showed that people where happy with the service they received.