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Inspection Summary


Overall summary & rating

Good

Updated 1 February 2019

Kosicare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’, that is help with tasks related to personal hygiene and eating. Where they do this, we also take into account any wider social care provided.

At our last inspection of the service in July 2018 we were not able to rate the service because only one person was being provided support and we did not have sufficient evidence of consistent good practice over time. However, we found no information or evidence at that time to demonstrate any serious risks or concerns about the service and the care provided.

Since the last inspection the service has moved location to a new address but remains based in London Borough of Croydon. This inspection took place on 21 January 2019. At the time of this inspection four people were using the service. There was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

People received care and support from the service that had been planned and agreed with them. People’s choices for how support was provided were respected and staff delivered this in line with their wishes.

Staff supporting people, understood their needs and how these should be met. They encouraged people to be involved in aspects of their personal care to promote their independence. Staff treated people with respect and maintained their dignity and privacy when providing support.

Staff supported people to eat and drink enough to meet their needs. Records maintained by staff after each scheduled visit helped to keep everyone involved in people’s care informed and up to date about the support provided to people. Staff demonstrated a good understanding of people’s healthcare needs and how they should be supported with these in a timely and appropriate way. Staff ensured people received their medicines as prescribed.

Staff remained aware of possible signs of abuse and how to report their concerns about people’s safety to the appropriate persons and agencies. Staff understood the risks posed to people and followed guidance about how these should be minimised to keep people safe from injury or harm. Staff followed good practice to ensure risks were minimised from poor hygiene and cleanliness when providing personal care and when preparing and handling food.

There were enough staff to meet people’s needs. Staff continued to receive relevant training to help them meet peoples’ needs and were supported by the registered manager to continuously improve in their role to help them provide effective support to people.

Staff were aware of their responsibilities in relation to the Mental Capacity Act 2005 (MCA) and supported people in the least restrictive way possible. The policies and systems in the service supported this practice.

The provider had systems in place to monitor and review the quality of service and to deal with any complaints made about the service. Records relating to people, staff and to the management of the service were accurate and up to date.

The service continued to have a registered manager in post. The registered manager was aware of their registration responsibilities particularly with regards to submission of statutory notifications about key events that occurred at the service.

The provider worked in partnership with local authorities and organisations funding people’s care, so they were kept up to date and well informed about people’s care and support needs. The provider was building relationships with local authority commissioning teams to raise the profile of the service and in this way hoped to grow the business further.

Inspection areas

Safe

Good

Updated 1 February 2019

The service was good. Staff were aware of possible signs of abuse and how to report their concerns about people�s safety.

Risks to people had been assessed and staff understood how these should be minimised to keep them safe. People received their medicines as prescribed.

There were enough staff to support people. Staff followed good practice to reduce infection risks when providing personal care and when preparing meals.

Effective

Good

Updated 1 February 2019

The service was good. The needs of people using the service had been assessed. Staff continued to receive training to meet these needs and were supported to continuously improve their working practices.

Staff worked closely with healthcare professionals involved in people�s care and reported any concerns they had about people so that appropriate support was obtained for them when required.

People�s consent was sought before any support was provided to them. Staff were clear about their responsibilities in relation to the Mental Capacity Act 2005.

Caring

Good

Updated 1 February 2019

The service was good. Staff were kind and caring.

People were supported by staff they were familiar with which helped to ensure continuity and consistency in the level of support they received.

Staff treated people with dignity and respect and people were supported to be as independent as they could be.

Responsive

Good

Updated 1 February 2019

The service was good. People contributed to planning their care and support needs. Their care plans set out how support should be provided.

The provider monitored that people received timely and responsive support from staff.

There were arrangements in place to deal with complaints should these arise.

Well-led

Good

Updated 1 February 2019

The service was good. The registered manager was accessible, supportive and responsive to people�s needs. They understood their registration responsibilities and adhered to these.

People�s views about the service were sought. These were used along with audits and checks to review and improve the quality of service people experienced.

The provider worked in partnership with others to continuously improve the delivery of care to people.