Archived: Chelsea Care Limited HQ

Updated 22 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one adult social care inspector.

Service and service type:

Chelsea Care HQ is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people. At the time of the inspection the service was supporting one person. Not everyone using this service receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service had a manager registered with the Care Quality Commission. This means that they 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: We gave the provider 48 hours’ notice of this inspection. This was because this is a small service providing support to people in the community; we needed to be sure someone would be in.

What we did:

Before the inspection:

We reviewed information we held about the service, including their registration assessment. We reviewed their provider information return (PIR). This is key information providers are required to send us about their service, what they do well and improvements they plan to make. This information helps supports our inspections. We checked the provider’s registration with Companies House. We spoke with a commissioning manager at the local authority to check if they had any information about the service.

During the inspection

We looked at records of care and support for the person currently using the service and one person who had been using the service at the time of their death. We looked at records of recruitment, training and supervision for six care workers. We spoke with the registered manager and two care workers.

After the inspection:

We made calls to relatives of two people who had used the service and a healthcare professional. We spoke with a further two care workers.

Updated 22 May 2019

About the service: Chelsea Care is a domiciliary care service which provides care and support to people living in their own homes. At the time of our inspection one person was using the service.

People’s experience of using this service:

Everyone we spoke with was satisfied with the quality of the care their family members received. One relative told us “I think Chelsea Care is brilliant.” People told us that care workers treated their relatives with kindness and respect. Care workers were described as “attentive”, “pleasant” and “marvellous.”

Care was delivered in a way which met people’s needs and preferences and this was reviewed regularly.

People were supported to access the community and to maintain communication with family and friends. Care workers ensured that people had enough to eat and drink, especially when people were nutritionally vulnerable.

The service helped people plan to ensure they had a comfortable and dignified death and that their wishes were respected.

The registered manager had good communication with families and responded promptly to complaints and concerns. There were regular checks that care workers were delivering good quality care.

Care workers were recruited safely and received detailed induction training and ongoing training and support.

Sometimes people’s relatives had consented to their care on their behalf when they still had capacity to make decisions for themselves, but they were still involved in the planning process and making daily decisions.

People usually managed their own medicines with limited support from staff, but care plans weren’t always clear about who was responsible for medicines. We have made recommendations about these two points.

The service was only providing intermittent care to one person but had also provided 24-hour care to another person up until their death.

Rating at last inspection: This was the first inspection for this location since it was registered in May 2018.

Why we inspected: This was a routine inspection to provide a first rating for the service.

Follow up:

The service was rated ‘good’. We will continue to monitor information and intelligence we receive about the service until we return to visit as per our re-inspection guidelines. We may inspect sooner if any concerning information is received.

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