We carried out a review of the data available to us about MIC Healthcare Solutions Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about MIC Healthcare Solutions Ltd, you can give feedback on this service.
MIC Healthcare Solutions is a domiciliary care agency providing personal care to older and younger adults who may be living with a learning disability, dementia or a physical disability, living in their own houses or flats. The service was supporting 12 people with personal care at the time of this inspection.
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.
People’s experience of using this service and what we found
People and their relatives were positive about the kind and caring support they received. One person told us, ‘‘[Staff] have been great and helped me a lot. I am delighted with the care I get from the service.’’
People were kept safe by staff who were trained and had good knowledge about safeguarding people from abuse. Risks to people were assessed and mitigated as far as possible. People received safe support with their medicines. Staff had training and followed good infection control practices. There were enough staff to keep people safe and people received support from a consistent and reliable staff team. Staff had the training, supervision and knowledge to do their jobs.
Peoples needs were thoroughly assessed before they began using the service. People received support to eat and drink according to their support needs and preferences. Staff supported people to see health professionals if this support was required. 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.
Staff supported people according to their preferences, likes and dislikes. Care plans were centred around people’s wishes and preferences as well as their physical care needs. People were supported to do things that were important to them and access the community if this was their choice. There was a complaints procedure in place at the service and complaints were promptly responded to. People received respectful and dignified care at the end of their lives.
People and their relatives were very positive about the management of the service. The management team had promoted a positive culture in the staff team. Audits and checks were completed in all areas to identify improvements and actions were put in place to help ensure these happened. People and the staff team were asked for feedback about the service and this was used to inform how the service developed. The management team and staff linked with external professionals to learn and put in place best practice guidance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 30 August 2019) and there was a breach of regulation. 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
We carried out an announced comprehensive inspection of this service on 31 July 2019. A breach of legal requirement was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve with regards to the breach in good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for MIC Healthcare Solutions on our website at www.cqc.org.uk.
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.
MIC Healthcare Solutions is a domiciliary care service providing personal care to people who live in their own homes. The service supported 10 people at the time of this inspection.
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.
People’s experience of using this service and what we found
We found that the registered managers had not ensured that people had detailed and robust risk assessments, outlining the risks and the potential risks which they faced each day. This information would assist the registered managers in managing people’s needs and guiding staff about what they needed to do, in order to promote people’s safety.
A safeguarding event had taken place which highlighted that potentially a person and others were at risk of experiencing harm. Although the registered managers had taken action, their actions fell short at fully promoting people’s safety. Time was not given to see what could be done differently and if lessons could be learnt for the future. Staff knowledge in how to protect people from abuse and harm needed improving.
Staff recruitment checks were not fully completed to check people were safe around staff. The registered managers and nominated individual (the nominated individual is responsible for supervising the management of the service on behalf of the provider), had not completed robust audits and checks on the service. There were also shortfalls in the registered person’s knowledge about elements of providing high quality care.
People’s assessments, care plans, reviews, and end of life plans lacked details about how people’s care should be delivered. They were also not always personal to individuals.
We recommended the provider sought guidance about improving these documents.
The registered managers were not completing full competency checks on staff and providing support in terms of regular supervisions and team meetings.
Staff spoke positively about the registered managers. They felt they were responsive and were always at hand if they needed guidance. Staff felt the training and their inductions to their work prepared them well to do their jobs. Staff said they had time to spend with people and enough travel time to generally visit people on time.
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.
People spoke positively of the staff who supported them. They told us that staff were kind and caring and polite. People and their relatives told us that they would recommend the service to others, and one person had. People said they saw regular staff at times they were happy with. People told us staff promoted their privacy and respected their homes. People did not feel rushed when staff supported them. Some people felt connected to the staff who supported them. Relatives told us that staff kept them informed and involved as appropriate.
Rating at last inspection
This service was registered with us on 23 August 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration with CQC.
We have identified a breach in the governance of the service. In relation to managing people’s safety and the lack of systems to enable the registered managers and the provider to effectively monitor and test the quality of the service.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the systems to assess the quality of the service and promote people’s safety. 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.