We carried out a review of the data available to us about Starry Care 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 Starry Care, you can give feedback on this service.
Starry Care is a domiciliary care agency providing personal care to people living in their own homes. Not everyone who uses domiciliary care services receive 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 inspection there were 16 people who received personal care support.
People’s experience of using this service and what we found
People received safe care. Risk assessments were in place and reviewed regularly and as people’s needs changed. Staff received training in safeguarding and what to do if concerns arose. Safe recruitment practices were followed to ensure staff were suitable for their roles.
People received their support calls on time and staff stayed for the length of time they were supposed to and completed the tasks people needed support with. People were informed if staff were running late for any reason. Medicines support was provided safely if this was required. Infection control measures were in place including staff use of personal protective equipment (PPE).
The provider monitored the quality of the service and they were developing documentation to record this more effectively. An electronic care planning system was being embedded into practice to support their oversight. The provider was keen to embed a supportive and learning culture in order to continuously improve the running of the service and the support people received in their homes. The provider was aware of their legal responsibilities and worked in an open and transparent way.
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
Rating at last inspection and update
The last rating for this service was requires improvement (published 5 February 2020).
At the last inspection there was a breach of regulation 17 (Good governance) because the provider did not have effective systems in place to monitor the quality of the service and ensure staff were supported fully in their roles. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Starry Care on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Starry Care is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there was one person using the service.
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
Systems to monitor the quality of the service were not fully embedded or implemented. This meant shortfalls had not been identified by the provider, which restricted their ability to bring about change and drive improvement. Records were not kept to evidence how the provider monitored the quality of care.
The provider’s policies and procedures were not fully adopted to promote people’s safety. People’s assessment and care plans did not provide a full account of the medicine people were prescribed, or the role of staff in its administration. Records showed staff were administering medicine as prescribed. People’s well-being was promoted as staff followed prevention of infection control measures.
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 this practice.
People and family members were involved in the assessment and reviewing of care, and their views and expectations were reflected in the care plan. Family members spoke positively of the care provided by staff, and the caring approach of staff towards their relative.
Family members spoke positively of the management of the service. They said the director regularly contacted them, which included visits to their home to review care needs and to ask if the care provided was to their satisfaction.
Rating at last inspection
This service was registered with us on 17/01/2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
Enforcement
We have identified a breach in relation to governance and monitoring of the service at this inspection.
Please see the action we have told the provider to take at the end of this report.