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Inspection Summary


Overall summary & rating

Good

Updated 21 August 2018

The inspection took place on the 12 June 2018. The provider was given 24 hours’ notice of the inspection, as this is a small service where people are often out during the day and we needed to make sure that the registered manager would be available to meet us. This is the first inspection since the service was re-registered under a new name in May 2017.

This service is a domiciliary care agency. It provides personal care to older adults living in their own houses and flats in the community. It currently provides personal care to 23 people who live in their own homes.

There was a registered manager 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 were cared for safely and staff understood their responsibilities to safeguard people. Care needs were identified and plans put in place to reduce the risk of harm from known risks. There were sufficient knowledgeable and skilled staff to meet people’s needs and they worked together as a team. Medicines were managed safely and staff were trained to administer them. Staff took adequate precautions to reduce the spread of infection and keep people save from harm.

Staff received specialist training that enabled them to care for people’s complex needs. People were supported to maintain a nutritious and healthy diet and steps were taken to monitor this if there were concerns about a person’s health. Staff had positive and constructive partnerships with local community health services and supported people to access specialist care when they needed it. Staff sought consent from people and worked within the principles of the Mental Capacity Act 2005.

People were cared for by staff who were kind and compassionate. Staff developed positive and supportive relationships with people based on equality and respect. People were involved in planning their care and their views and preferences were known to staff. People were cared for in ways that promoted their independence and dignity.

Staff were very responsive to the changing needs of people. People were overwhelmingly positive about their care and they were encouraged to feedback to the management team. People’s wishes and preferences regarding their end of life support were known to staff and they were followed, where possible.

The service was very well led and there was a positive, person-centred and inclusive culture. The quality assurance systems in place ensured that continuous improvement was central to all learning and development. There were clear lines of accountability and staff were supported in their roles. There were constructive partnerships with local community services which ensured people received holistic care and support.

Inspection areas

Safe

Good

Updated 21 August 2018

The service was safe.

Staff were recruited safely and all pre-employment checks were completed before they cared for people.

Staff understood their responsibilities to safeguard people.

Medicines were managed safely and staff received relevant training.

Effective

Good

Updated 21 August 2018

The service was effective.

Staff clearly knew people�s care needs and had the knowledge and skills to meet these needs.

Staff worked in partnership with other services to ensure people received holistic care.

Staff followed the principles of the Mental Capacity Act 2005.

Caring

Good

Updated 21 August 2018

The service was very caring.

Staff were kind and passionate about caring for people.

People and staff developed positive relationships based on dignity and respect.

Staff promoted people�s independence and dignity.

Responsive

Good

Updated 21 August 2018

The service was very responsive.

Staff clearly understood people�s preferences and respected these.

The management sought feedback and used this to improve the service and the care people experienced.

Well-led

Good

Updated 21 August 2018

The service was very well-led.

There was a positive and inclusive culture that was open and transparent. The registered manager responded positively to feedback and was keen to make any changes necessary to improve people�s care experience.

Staff were supported by a management team that was available and responsive to any concerns.

The registered manager had the knowledge and skills to develop and deliver the service; and forged productive relationships with other services to ensure people received joined-up care.