Background to this inspection
Updated
10 September 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means 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 service 6 days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. We also needed to make sure people were happy to speak to us.
Inspection activity started on 13 August 2019 and ended on 14 August 2019. We visited the office location on 14 August 2019.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and six relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, administrator, senior care workers and care workers.
We reviewed a range of records. This included four people’s care records and some medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
10 September 2019
About the service
Caring 4 all is a domiciliary care agency providing care to older people, people with physical disabilities and people at the end of their lives. The service was supporting 12 people at the time of the inspection.
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 were treated with kindness and care and had positive relationships with staff. One person’s relative told us, “I don’t think they can do any more than what they do. They are very good.” Another person’s relative said, “I’m perfectly happy with all of them. They are all friendly and can have a chat. To me, they are all wonderful.”
People were supported maintain their dignity and comfort at the end of their lives. People had been supported by staff to achieve final wishes. People’s end of life choices were considered, respected and advocated for by the staff team. Staff worked in partnership with other professionals to ensure that people’s end of life wishes were respected.
People were supported safely. Staff knew people well and worked with other professionals to ensure people had the right equipment or other support, at the right time. Staff understood safeguarding and how to raise any concerns about people’s safety and well-being. Staff knew about infection control and how to prevent the spread of infection.
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 were supported to maintain their independence and staff advocated for this when working with other professionals. People were supported to maintain their privacy and dignity. People received personalised care. Their needs were assessed before they began using the service. People were involved in regular care plans and risk assessment reviews.
People received their care visits when they expected to and for long enough. Times could be changed as needed to accommodate people’s needs. Staff were recruited using safe processes. Staff new to the service were supported with an induction and training. Staff had training to help them support people. Staff felt well supported by the registered manager and had regular supervision and staff meetings.
When things went wrong, staff responded openly and honestly. They took steps to address the issue and prevent it reoccurring. People and their relatives knew how to complain.
The culture of the service was positive, and person centred. People, their relatives and staff told us the registered manager was supportive and approachable. People’s views and quality assurance checks were used to make changes and improvement to the service.
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 19 December 2016)
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.