About the service
Care Remedies Limited is a domiciliary care agency. The agency provides personal care to people living in their own homes. At the time of the inspection, care was being provided to 57 people. Some were living with dementia, some had physical disabilities and two had learning disabilities.
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 told us they felt safe and this was supported by relatives and carers. Staff had a good understanding of safeguarding and what steps they would take if they had concerns. Risk assessments had been completed and were bespoke to individuals. Accidents and incidents were correctly reported, recorded and investigated. Staff were recruited safely, and people were supported with medication when necessary.
A robust induction process was in place which was followed up by regular training, supervision, meetings and appraisals. Staff knew people well and knew how to communicate with them. Some people were supported with food and drink and management of diabetes. Food and fluid intake records were kept where there was concern. Staff understood the importance of gaining consent from people and all staff had received mental capacity training.
Staff were seen to be kind and caring towards people in their own homes. People’s differences were recognised and celebrated, and people had choice about how their care and support needs were met. People’s privacy and dignity were respected. People were encouraged to be as independent as possible with daily tasks such as washing, dressing, food and drink preparation.
Care was delivered in a person-centred way. People were supported to attend medical appointments when family/carers were not available. Staff helped people out on short trips to the seafront and to an annual pantomime at certain times of the year. At the time of the inspection no one had significant communication needs but the staff had received training in communication and aids were available to help if the need arose. A complaints policy was in place and was accessible to everyone. Few complaints had been raised and all issues had been dealt with quickly and satisfactorily. No one using the service was in receipt of end of life care but staff had received training in this area.
People, relatives and staff spoke well of the registered manager who provided clear, visible leadership and support. Although there was no formal meeting structure there were various ways that people, relatives and staff could provide feedback. Annual questionnaires were completed and then analysed by the registered manager. The service was relatively small and regular interactions took place with the management. The new computer system meant that audits could be carried out daily for medicines, accidents and incidents with a fuller monthly audit to identify trends carried out by the registered manager. The service is growing and there are ambitions to expand further. The registered manager told us that they wanted to ensure the new computer system was fully imbedded before further growth.
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, (report published 14 February 2017.)
Why we inspected
This was a planned inspection based on the previous rating.
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.