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

Inspection Summary


Overall summary & rating

Good

Updated 20 July 2018

About Care Services provides both 24 hours live in care and support as well as planned visits to people living in their own homes. Not everyone using About Care Services receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

This service was registered on 16 March 2017.This was their first inspection.

At the time of this announced comprehensive inspection of 23 May 2018, there were nine people who used the service. The provider was given 48 hours’ notice because it is a small service and we wanted to be certain the provider who is also the registered manager and key staff would be available on the day of our inspection. We also wanted to give them sufficient time to seek agreements with people so that we could visit them in their homes to find out their experience of using the service.

A registered manager was 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 and their relatives had developed good relationships with the care workers and management team. People received care that was personalised and responsive to their needs. They were able to express their views and care staff listened to what they said and ensured their decisions were acted on.

People’s care records were accurate and reflected the support provided. Care workers consistently protected people’s privacy and dignity.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Procedures and guidance in relation to the MCA were followed which included steps that the provider should take to comply with legal requirements.

Systems were in place to minimise the risks to people, including from abuse, mobility, nutrition and with accessing the community. Care workers understood their roles and responsibilities in keeping people safe.

Recruitment checks were carried out with sufficient numbers of care workers employed who had the knowledge and skills through regular supervision and training to meet people’s needs.

Where people required assistance with their medicines, safe systems were followed. Care workers were provided with training in infection control and food hygiene and understood their responsibilities relating to these areas. Systems were in place to reduce the risks of cross infection.

The service worked in partnership with other agencies. Where care workers had identified concerns in people’s wellbeing there were systems in place to contact health and social care professionals to make sure they received appropriate care and treatment. Where required, people were safely supported with their dietary needs.

There was a complaints procedure in place and people knew how to voice their concerns if they were unhappy with the care they received. People’s feedback was valued and acted on. The service had a quality assurance system and shortfalls were identified and addressed. As a result, the quality of the service continued to progress.

Inspection areas

Safe

Good

Updated 20 July 2018

The service was safe.

Systems were in place to help protect people from the risk of abuse and harm.

Risks were identified and reviewed in a timely manner.

There were sufficient numbers of care workers who had been recruited safely to meet people’s needs.

People received their medicines in a safe and timely manner.

Care workers had received training in infection control and food hygiene and understood their responsibilities relating to these areas.

Processes were in place to enable the management team to monitor accidents, adverse incidents or near misses. These helped to identify any themes or trends, potential learning and continual improvements in safety.

Effective

Good

Updated 20 July 2018

The service was effective.

Care workers received supervision and training to support them to perform their role.

The service worked with other professionals to provide people with a consistent service.

Where required people were safely supported with their dietary needs.

People were supported to maintain good health and had access to appropriate services.

People were asked for their consent before any care, treatment and/or support was provided.

Caring

Good

Updated 20 July 2018

The service was caring.

Care workers were kind and considerate, respected people’s preferences and treated them with dignity and respect.

People and their relatives, where appropriate, were involved in making decisions about their care and these decisions were respected.

People’s independence was promoted and respected.

Responsive

Good

Updated 20 July 2018

The service was responsive.

People contributed to the planning of their care and support. This was regularly reviewed and amended to meet changing needs.

People's concerns and complaints were investigated, responded to and used to improve the quality of the service.

Well-led

Good

Updated 20 July 2018

The service was well-led.

The registered manager was approachable and had a visible presence in the service.

Care workers were encouraged to professionally develop and understood their roles and responsibilities.

Effective systems were in place to monitor and improve the quality and safety of the service provided.

The service worked in partnership with other agencies.