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Inspection Summary


Overall summary & rating

Good

Updated 14 January 2020

About the service

Life Care Plus Limited provides care at home to people. They provide the regulated service of personal care to both younger and older adults some of whom are living with dementia and may have mental health or learning disabilities support needs.

However 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. At the time of our inspection eight people received the regulated service.

People’s experience of using this service and what we found

The provider took steps to ensure staff previous work practice was appropriate and safe. However, a risk assessment was not written to reflect the safety measures taken when a reference could not be obtained. The provider's quality assurance system had not identified this shortfall.

The registered manager used systems to ensure they had an oversight of staff practice and undertook spot checks. They checked staff administration of medicines and addressed any concerns with staff.

Staff were provided with training to support them to undertake their role.

People and relatives spoke positively about the care workers. They described them as experienced and friendly. They told us care workers usually arrived on time and communicated well with people.

The registered manager met people to assess their support needs prior to offering a service. This assessment informed people’s person-centred care plans outlined how they wanted their care to be provided.

The registered manager also assessed risks to reduce the likelihood of harm to people and made suggestions to promote people’s safety and well-being.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager and care workers supported people to access appropriate health and social care for their well-being. They followed health professionals’ recommendations.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement undertaken on the 9 September 2018 (published on 6 November 2018). At that inspection we found two breaches of the regulations in fit and proper persons employed and good governance.

The provider completed an action plan after the last inspection to show what they would do by January 2019 to improve.

At this inspection, not enough improvement had not been made. This was because although improvements in auditing and oversight had been made there were still some shortfalls in the recruitment process.

Why we inspected

This was a planned inspection based on the previous rating.

We found no evidence during this inspection that people were at risk of harm

Please see the sections of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 14 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 14 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 January 2020

The service was well-led.

Details are in our well-led findings below.