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Inspection Summary


Overall summary & rating

Good

Updated 19 July 2018

The inspection at the provider's office took place on 1 and 15 May 2018 for seven and a half hours. The inspection was announced on both days. The provider was given 24 hours’ notice because the location provides a small domiciliary care service and we needed to be sure that someone would be in. The inspection was carried out by one inspector.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However, the rating for Well-Led has deteriorated from Good to Requires Improvement.

Ribble Care Limited is a domiciliary care agency providing support and care to people in their own homes. This may be companionship, domestic help like shopping, or help with personal care, like washing and dressing. The main office is based in Settle, and the agency provides services in Settle and surrounding areas.

Not everyone using the service receives the regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. We also take into account any wider social care provided. At the time of our inspection there were 28 people who used the service for personal care support.

There was a registered manager in post. A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.

The provider, who was also the registered manager, spent most of their time carrying out care visits and employed a compliance manager to run the service from the office. However, the provider carried out no formal monitoring of the service to assess quality. This meant the provider could not be certain the systems and processes used by the compliance manager fully promoted the health, safety and welfare of people who used the service.

People who used the service and care staff all spoke positively about the way the service was managed. The compliance manager completed audits of records and monitored staff performance to make sure any issues were identified and acted on promptly.

People told us they felt safe. Care staff understood how to keep people safe and any potential risks were identified and managed. Risk management plans were in place to ensure people’s safe care. Care staff knew how to protect people from risks associated with harm and abuse. Safeguarding procedures and policies were in place. Staff were aware of their responsibilities to identify and report any allegations of abuse to the local authority.

There were sufficient staff to provide the service people needed. Safe recruitment practices were followed. Care workers felt well supported and received appropriate training.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. Care workers understood people needed to consent to their care and were confident they supported people to make their own decisions. People received assistance with meals and healthcare when required. This supported people to maintain their health and well-being.

People told us they were happy with the care they received and were complimentary about the care workers who supported them. People said staff knew them well and treated them with kindness. Staff understood the importance of treating people with dignity and respect and promoting their independence.

People told us they had no complaints and when they had raised any issues, they were dealt with promptly. People were inv

Inspection areas

Safe

Good

Updated 19 July 2018

The service remains Good.

Effective

Good

Updated 19 July 2018

The service remains Good.

Caring

Good

Updated 19 July 2018

The service remains Good.

Responsive

Good

Updated 19 July 2018

The service remains Good.

Well-led

Requires improvement

Updated 19 July 2018

The service has deteriorated from Good to Requires Improvement.

The provider did not have a formal system in place to assess and monitor the work carried out by the compliance manager.

Accurate and up to date records relating to people�s care and support were maintained.

People and staff had opportunities to feed back their views about the service.