Archived: Careshield Ltd

Updated 12 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

The inspection was undertaken by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.

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 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.

Inspection activity started on 13 August 2019 and ended on 22 August 2019. We visited the office location on 13 August 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with six members of staff including the provider, registered manager, office staff and care workers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two 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

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 12 September 2019

Chelmscare Sawbridgeworth is a domiciliary care service providing care and support to people living in their own homes in the community.

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 this inspection 27 people received personal care and support.

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

People were satisfied with the care and support they received from Chelmscare Sawbridgeworth. People felt safe and staff understood their role in keeping people safe and reporting any concerns. There were enough staff available to meet people’s needs. The recruitment procedure was robust and newly recruited staff completed induction training before they started work. People were supported to take their medicines safely where needed and were protected from the risk and spread of infection. Learning from accidents and incidents was shared with the staff team.

People were supported to be as independent as possible. 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’s consent was obtained before staff provided care. Staff supported people to eat and drink enough to maintain their health as needed and to access healthcare services and professional advice when required.

People told us the care staff were kind, caring, courteous and respectful. People were involved in developing and reviewing their care plans along with their relatives if appropriate. People said they knew how to raise concerns and the registered manager addressed any feedback in a timely way.

The registered manager undertook regular quality monitoring to help ensure people received a good quality service to meet their needs. People and their relatives said the registered manager was always approachable and available. The staff team worked in partnership with other organisations to ensure good outcomes for people.

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

Rating at last inspection This service was registered with us on 05/09/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the registration date.

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.