Background to this inspection
Updated
29 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. The service had a manager who had applied to register with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 48 hours' notice of the inspection. This was because we needed to be sure that the provider or the manager would be in the office to support the inspection.
What we did before the inspection
The provider was asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We also looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern.
During the inspection
We spoke with two people and two relatives. We looked at three people's care records and three medicine administration records (MAR). We spoke with two care staff, the nominated individual and the manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records relating to the management of the service. These included three staff files, quality assurance audits, incident reports, complaints and compliments. In addition, we contacted a healthcare professional for their views.
Updated
29 November 2019
About the service
We Care Recruitment Ltd provides a domiciliary care service to enable people living in Oxfordshire and the surrounding areas to maintain their independence at home. There were seven people using the service at the time of the inspection, who had a wide range of physical and health care needs. The CQC only inspects services where people receive personal care which is help with tasks related to personal hygiene and eating. Where services offer personal care, we also consider any wider social care provided.
People's experience of using this service
The manager and staff strived to provide safe care and support. The manager worked with GPs and other healthcare professions to ensure the service responded to people's changing needs safely and effectively. People's care was personalised and matched their needs, which promoted their wellbeing and improved their quality of life.
People told us staff were caring and kind. Staff's commitment and knowledge enabled people to receive care from staff who knew them well.
The manager looked for ways to improve people's lives. Staff culture was positive, and the team was caring. This had resulted in the provision of compassionate and personalised care. The service had a clear management and staffing structure in place. Staff worked well as a team and had a sense of pride working at the service. The provider had quality assurance systems in place to monitor the quality and safety of the service.
People received safe care from skilled and knowledgeable staff. People told us they felt safe receiving care from the service. Staff fully understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place.
Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely, and people received their medicines as prescribed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health and to meet their nutritional needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This service was last inspected on 19 September 2018 and was rated as Requires improvement. There were two breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected:
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care.
Further inspections will be planned for future dates.