Background to this inspection
Updated
27 February 2020
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 team consisted of 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.
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 21 January 2020 and ended on 24 January 2020. We visited the office location on 21 January 2020.
What we did before the inspection
Before the inspection we reviewed information, we held about the service and we spoke with professionals from the local authority.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
During the inspection, the registered manager was away from the office, but we did speak with them via email and telephone. The administrator from City Care Ltd facilitated the inspection. We spoke with the administrator, two staff members and three relatives.
We looked at two care records and associated documents. Two staff recruitment records. Staff training, induction, and supervision records. Policies and procedures. Information relating to health and safety and risk assessment and documents kept for monitoring and improving the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
27 February 2020
About the service
City Care Limited is a domiciliary care agency providing personal care to 3 adults at the time of the 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
People were safely cared for while being supported by the service. Staff were trained to identify and report any safeguarding concerns. Risks were assessed, and staff followed guidance to safely support people. Staff were recruited safety and attended calls to people in their own homes on time and stayed for the duration of the call. Medicines were safely managed.
Assessments were carried out to ensure needs could be met. Assessment captured choices and preferences and personal care needs. People were supported to eat and drink. Staff worked with families to ensure people received their food and drink of choice. Staff received an induction and training as part of their role. Regular supervision was given to staff.
Staff were caring towards people, this was confirmed by relatives. Staff were able to offer support with communication and cultural needs which enhanced people’s wellbeing. Staff told us they felt humbled by supporting elderly people who lived in their community.
Care plans described people’s needs and had been developed with people and their relatives. Staff could describe plans of care and how to best support people. Information for people could be adapted to personal needs such as alternative language or easy read formats. A robust complaints procedure was in place and the service had received no complaints since they began operating.
The registered manager was responsive to people and their relatives and staff felt well supported by them. Audits to monitor and improve the service were in place and recent feedback on the provision of the service had been positive.
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
This service was registered with us on 12/02/2019 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.