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We are carrying out a review of quality at Caring 4 All. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

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.

Inspection areas

Safe

Good

Updated 10 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 September 2019

The service was well-led.

Details are in our well-Led findings below.