City Home Care Limited

Updated 19 September 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

One inspector carried out this inspection

Service and service type

City Home Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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

This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

We visited the office location on 23 July 2019. We made telephone calls to people and their relatives following the inspection.

What we did before inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We attempted to speak with 14 people who used the service or their relatives. We were successful at speaking with four people and two relatives about their experience of the care provided. We met the registered manager who was also the nominated individual during our site visit. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We spoke with the registered manager, recruitment officer, co-ordinator assistant and one care worker. We reviewed a range of records. This included three people’s care records and associated records such as daily notes. We looked at three people’s medicines records. We viewed three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

Following the inspection we continued to seek clarification from the provider to validate evidence found.

Updated 19 September 2019

About the service

City Home Care Limited is a domiciliary care agency providing personal care in people’s own homes. 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 the inspection the agency was providing a service to 21 people. The agency is registered to provide a service to children, younger and older adults. People had a range of needs ranging from those associated with a learning disability, physical disability and dementia.

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

We found that whilst there were mostly comprehensive risk assessments for people that covered a wide range of identified concerns, one risk assessment required more detail. Generally, medicine administration was thorough, and medicines were administered without error.

People and their relatives spoke positively about the care they received. They told us care workers always arrived on time. Their comments included, staff were very “friendly” and “kind.”

People found the registered manager and office staff approachable and had confidence they would address any concerns.

People confirmed their care was provided as they wanted it to be done. They had person centred care plans with guidance for staff. Care plans were reviewed on a regular basis to ensure they were still relevant to the person.

People using the service felt safe.

People’s diverse support needs were met by staff who respected people’s choices.

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.

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

Why we inspected

This service was registered with us on 23 July 2018 and this is the first inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.