Background to this inspection
Updated
26 April 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. 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 was carried out by one inspector.
Service and service type:
Careplex is a domiciliary care service providing personal care as part of a supported living setting, so people can live in their own home as independently as possible. . People's care and housing are provided under separate contractual arrangements. CQC does not regulate premises used for supported living, this inspection looked at personal care and support.
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 site visit because it is small service, and the manager is often out supporting people. We needed to be sure that they would be in.
We visited the service on 27 March 2019 to see the registered manager and to review care records and policies and procedures.
What we did:
When planning our inspection, we reviewed any information we had received about the service. We also contacted the local authority for feedback about the service. We used this information to help us decide what areas to focus on during the inspection.
During the inspection, we spoke with the registered manager and the care manager. We also spoke with one person who used the service and one relative. We looked at one person’s care records to see how their care and support was planned and delivered. We also looked at medicine records, staff recruitment and training files, policies and procedures and the provider’s quality monitoring systems.
Updated
26 April 2019
About the service:
Careplex domiciliary services are registered to provide personal care as part of a supported living setting. Staff provide personal care and support to people at pre-arranged times and in emergencies. There was one person receiving care and support on the day of the inspection and because of this and the fact that we want to protect this person’s rights to a private life, the report will provide an overview rather than specific examples.
People’s experience of using this service:
¿ People told us they felt safe with the support of staff. Risks to people had been assessed and staff had a good understanding of these risks and how to minimise them.
¿ People were supported to receive their medication as prescribed and staff demonstrated a good knowledge of types and signs of abuse and how to report concerns of abuse.
¿ People were supported by staff who had the skills to meet their needs. People’s consent was sought before providing support. Staff demonstrated a good understanding of the Mental Capacity Act 2005 and what this means for people.
¿ People’s nutritional needs were met, and people were happy with the support they received to enjoy a choice of meals and maintain a healthy diet. People had access to healthcare professionals when required.
¿ People told us staff were kind and caring in their approach and people’s privacy and dignity was respected. People’s independence was maintained and encouraged.
¿ People received individualised care and support from staff that demonstrated detailed knowledge of people’s individual needs. This person-centred approach had resulted in positive outcomes for people.
¿ People’s needs were assessed and reviewed on a regular basis. People’s care records were person centred and included their likes, dislikes and preferences.
¿ People and relatives felt confident raising concerns should they need to.
¿ Staff, people and relatives spoke positively about the registered manager and provider.
¿ The management team had systems in place to monitor the quality of the service that they provided.
Rating at last inspection:
This was the first inspection since the service registered in July 2013; the service first started supporting people in November 2018.
Why we inspected:
This was a planned inspection which took place on 27 March 2019.
Enforcement:
Full information about CQC’s regulatory response to the more serious concerns found in inspections is added to reports after any representations and appeals have been concluded.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.