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

Inspection Summary


Overall summary & rating

Good

Updated 7 October 2017

ACS Care Services is a domiciliary care agency providing personal care, support and companionship to people in their own homes. At the time of our inspection the service was providing personal care to 131 people.

The service had a registered manager. The provider was also the registered manager. 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 and associated Regulations about how the service is run.

At the last full comprehensive inspection of ACS Care Services on the 16 June 2016 the service was rated as requires improvement. We found that that the registered provider had failed to ensure systems or processes were in place to assess, monitor and improve the quality and safety of the services provide. In addition the registered provider had not consistently gained and acted upon feedback from people for the purposes of continually evaluating and improving services. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. On 05 December 2016 we completed a focused inspection and found that the breach of regulation had been met. At this inspection we found the improvements that had been made had been sustained and ACS Care Services is now rated as good.

Sufficient travel time was not always factored into staff schedules, having the potential to jeopardise the safety of people using the service and the staff.

People felt safe when staff came to their homes. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.

Staff received regular training that provided them with the knowledge and skills to meet people’s needs. They were well supported by the management team and had regular one to one supervision and annual appraisals.

Staff sought people’s consent before providing any care and support. They were knowledgeable about the requirements of the Mental Capacity Act (MCA) 2005 legislation. Where the service was responsible people were supported by staff to access food and drink of their choice to promote healthy eating. If required, staff supported people to access healthcare services.

People were treated with kindness and compassion by staff; and had established positive and caring relationships with them. People were able to express their views and to be involved in making decisions in relation to their care and support needs. Staff ensured people’s privacy and dignity was promoted.

People received care that was person centred and met their needs. Their needs were assessed prior to them receiving a service. This ensured the care provided would be appropriate and able to fully meet their needs. People’s care plans were updated when there was a change to their care needs. The service had a complaints procedure to enable people to raise a complaint if the need arose.

The service had quality assurance systems in place, which were used to good effect and to continuously improve on the quality of the care provided.

Inspection areas

Safe

Requires improvement

Updated 7 October 2017

The service was not always safe.

Sufficient travel time was not always factored into the staff schedules, this had the potential to jeopardise the safety of people using the service and the staff.

Staff were knowledgeable about the importance of keeping people safe from the risks of abuse.

Risk assessments identified areas of specific risks to people using the service, to guide staff on how the risks were to be managed.

Robust recruitment procedures reduced the risks of unsuitable people working with people using the service.

People�s medicines were managed safely.

Effective

Good

Updated 7 October 2017

The service was effective

People were looked after by staff that were trained to carry out their roles and responsibilities.

People�s consent to care and support was sought in line with the principles of Mental Capacity Act 2005.

If required, staff supported people to eat and drink and to maintain a balanced diet.

Staff supported people to access healthcare services if needed.

Caring

Good

Updated 7 October 2017

The service was caring

People and staff had developed caring and positive relationships.

Staff enabled people to express their views and to be involved in decisions about their care and support.

Staff ensured people�s privacy and dignity was promoted.

Responsive

Good

Updated 7 October 2017

The service was responsive

People�s needs were assessed prior to them receiving a service.

People received care that was personalised and met their assessed needs.

People were provided with information on how to raise a concern or complaint.

Well-led

Good

Updated 7 October 2017

The service was well-led

Notifications had been submitted to the Care Quality Commission in line with requirements.

There were quality assurance processes in place to drive improvements at the service.

Systems were in place to ensure the service learnt from events such as accidents and incidents, whistleblowing and investigations.