Background to this inspection
Updated
21 August 2021
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 carried out 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
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 06 July 2021 and ended on 12 August 2021. We visited the office location on 08 July 2021.
What we did before inspection
We reviewed information we had received about the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with two members of staff, the registered manager and the deputy manager.
We reviewed a range of records. This included two people’s care and medicine administration records. We looked at four staff files in relation to recruitment and staff supervision. We also viewed a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke over the telephone with one person and one relative about their experience of the care provided. We also spoke with a further three members of care staff. We also continued to seek clarification from the provider to validate evidence found.
Updated
21 August 2021
About the service
Amachyck Care Solution Ltd is a domiciliary care agency registered to provide personal care. At the time of the inspection two people were receiving care.
People’s experience of using this service and what we found
Risks to people were assessed and monitored. People’s medicines were managed safely. The service had systems in place to safeguard people from abuse and record incidents and accidents. There had been no incidents, safeguarding or otherwise, but we were assured people would be kept safe and the provider would learn from lessons when things went wrong. Staff recruitment processes were robust, and people and relatives had no concerns with staffing. There were infection prevention and control measures in place.
The service assessed people so they knew whether they could meet their needs. Staff were trained and received supervision in their roles. People were supported to eat and drink healthily. People were supported with their healthcare needs and staff at the service communicated effectively with each other and the management. 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. Staff sought people’s consent and people’s consent was recorded in their care plans.
People told us they were treated well by staff. Staff understood and respected people’s diversity, and their privacy and dignity. Staff promoted people’s independence. People were supported to express their views and be involved in decisions about their care.
Peoples needs were recorded in personalised care plans and staff knew people’s needs. The service supported people with their communication needs and sought to ensure people could take part in activities they wanted to. People and their relatives knew how to complain and who to complain to.
People, relatives and staff thought the service was well led. Staff were clear about their roles and understood regulatory requirements and duty of candour. There were quality assurance measures in place. People, relatives and staff were able to engage with the service through different ways and have their voice heard. The service worked with others for the benefit of people who used the service.
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)
This service was registered with us on 20 June 2019 and this is the first comprehensive inspection. We completed a focused inspection (published 04 January 2021) and rated the safe domain requires improvement and the well led domain inadequate. We do not provide an overall rating when we do not inspect all domains.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.