Updated 15 May 2019The 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: The inspection team consisted of one inspector.
Service and service type: Kare Plus London Central provides personal care and support to people in their own homes.
The service had a manager registered with the Care Quality Commission (CQC). 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 service two days’ notice of the inspection visit because the service provides care to people in their own homes and we wanted to make sure that the provider was available on the day of the inspection.
We visited the office location on the 17 April 2019 to speak with the registered manager and nominated individual (representative of the provider who supervises the management of one or more Provider Regulated Activities); and to review records and policies and procedures.
What we did: Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. We had asked the provider to complete a Provider Information Return [PIR]. 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. Due to us having changed the date of the planned inspection the date given to the provider to complete the PIR was after our inspection. However, the registered manager completed the PIR so that it was available for us to review during the inspection. We used this information and the previous inspection report to plan our inspection.
During the inspection we spoke with the registered manager, nominated individual and three care workers. Following the inspection, we spoke with one person using the service [the other people were unable to tell us about their experience of the service] and four people’s relatives. We reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of five people using the service, four staff employment records and a range of other records including the service’s statement of purpose.