24 April 2023
During an inspection looking at part of the service
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
About the service
Gevic Care Agency is a domiciliary care service which provides personal care to people living in their own homes. CQC only inspects where people receive support with 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 the inspection there were three people receiving personal care.
People’s experience of using this service and what we found
Right Support: Model of Care and setting that maximises people’s choice, control and independence. The provider had improved the way they carried out assessments and devised care plans which now contained a good level of detail about people’s needs and preferences. Staff communicated with people in ways that met their needs. People were protected from the risk of avoidable harm because the risks to people’s health and wellbeing had been assessed and guidelines were in place to ensure staff knew how to mitigate the risks.
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.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People’s communication needs were now being assessed and there were guidelines in place to help support better communication between people and care staff. There was information recorded about people’s backgrounds, likes and dislikes to ensure staff had a good understanding of people.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People and their family members were positive about the caring nature of the staff. People told us they were always treated with dignity and respect. Staff were positive about the support they received to fulfil their role.
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 requires improvement (published 31 May 2022) and there were several breaches of regulation.
Why we inspected
We carried out an announced inspection of this service on 30 March 2022 and breaches of regulation were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the management of risks, medicines, safe recruitment, consent to care and good governance. We undertook this inspection to check they had followed their action plan and to confirm they now met legal requirements.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Recommendations
We have made a recommendation about reviewing the process around monitoring attendance times.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.