Caring Crew Limited

Updated 24 December 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

This 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.

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 a short period notice of the inspection because some of the people using it could not consent to a home visit or telephone call from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.

Inspection activity started on 4 December 2019 and ended on 11 December 2019. We visited the office location on 9 December 2019.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. 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.

During the inspection

We spoke with five people and six relatives of people who used the service about their experience of the care provided. We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with six staff including care coordinators, senior care workers and care staff.

We reviewed a range of records. This included three 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 also reviewed.

Updated 24 December 2019

About the service

Caring Crew - Peterborough Office is a domiciliary care agency providing personal care to 49 people. This service is provided to a range of age groups and disabilities including people with mental health needs and people living with dementia.

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.

Sufficient staff with the right skills, supported people to be safe. Staff implemented their knowledge of safeguarding systems well. Staff were recruited safely. Risks were identified and managed well. One person told us, "[Staff] lift me in the hoist and sling. They always do it safely and there are always two staff." Medicines were administered and managed safely Lessons’ learned were shared across the staff team to improve care practise.

People's assessed needs were met by staff whose training and support had given them the required skills. The provider worked well with others involved in people's care. People ate and drank enough. Staff enabled people to access health care and support services. 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 support this practice.

Staff provided people with kind, compassionate and thoughtful care. People's privacy and dignity was upheld. People who needed support from an advocate were given this. People had a say in developing their care and how it was provided.

People's care was person-centred and staff enabled people to take part in pastimes, hobbies and activities people were interested in. People's complaints were responded to in line with the provider's policies and to the person's satisfaction. Systems and procedures were in place to support people with end of life care and in a dignified way.

The registered manager was aware of their responsibilities and provided stable and consistent leadership to staff. Staff were supported in their role. People, their relatives and staff had a say in how the service was run. Quality assurance, audits were effective in identifying and driving improvements. The provider worked well with others to provide people with joined up care.

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

This is the first inspection of the service under its current registration.

Why we inspected

This was a planned inspection based on when this provider was first registered with us in December 2018.

You can read the report from our latest comprehensive inspection, by selecting the ‘all reports’ link for Caring Crew - Peterborough Office on our website at www.cqc.org.uk

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.