Archived: Cachet Care Services Limited

Updated 28 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a planned comprehensive inspection which took place on 07, 08 and 11 June 2018. The provider was given 48 hours’ notice because the location provides a small domiciliary care service; we needed to be sure that someone would be in to facilitate the inspection.

The inspection was undertaken by one adult social care inspector. At the time of our inspection 15 people were using the service.

Before the inspection visit we reviewed the information we held about the service, including information we had received since the service registered with the Commission at their new office address on 11 December 2017.

We did not ask the service to complete the Provider Information Return (PIR), prior to the date of the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed the care and medication records of six people who used the service and records relating to the management of the service. We looked at four staff personnel files, policies and procedures and quality assurance systems.

During our inspection we went to the provider’s head office and spoke with the registered manager, two office staff members and four members of care staff. We also spoke with a local authority professional and with four people who used the service as part of the inspection; this was in order to seek feedback about the quality of service being provided.

Updated 28 July 2018

Cachet care Services Limited is a small domiciliary care company whose office is located close to Horwich town centre. It is situated on the ground floor of Victoria House which provides the space necessary for the running of the company and management of the regulated activity and its employees, including facilitating staff meetings, training and supervision. Cachet Care Services Limited does not provide accommodation or equipment for people who use the services.

At our last inspection we rated the service as Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager at the service. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe when receiving a service at home and were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were sufficient staff available to ensure people's wellbeing, safety and security was protected. An appropriate recruitment and selection process was in place which ensured new staff had the right skills and were suitable to work with people living in their own home.

Staff had a good understanding of systems in place to manage medicines and safeguarding matters. People's medicines were managed so they received them safely.

The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA).

People we spoke with said they involved in care planning and were confident that their comments and concerns would be acted upon. The provider took account of any complaints and comments to improve the service.

Risk assessments were in place for a number of areas and were regularly updated, and staff had a good knowledge and understanding of people’s health conditions.

Feedback received from people who used the service and their relatives was overwhelmingly positive and people were encouraged to contribute their views. People were positive about the staff who supported them and told us they liked the staff and were treated with dignity and kindness.

People were satisfied with the support they received in relation to nutrition and hydration. There was an open and transparent culture and encouragement for people to provide feedback.

People told us they were aware of how to make a complaint and were confident they could express any concerns which would be addressed.

Staff told us they enjoyed working for the organisation and spoke positively about the culture and management of the service. They also told us that they were encouraged to openly discuss any issues.