Background to this inspection
Updated
31 August 2022
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 Health and Social Care Act 2008.
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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
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 30 June 2022 and ended on 26 July 2022. We visited the location’s office on 6 July 2022.
What we did before the inspection
We reviewed information we held about the service including notifications we had received from the provider. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative to hear about their experience of the care provided. We spoke with five members of staff including the registered manager and carers. The registered manager is also the nominated individual for the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included four people’s care plans and risk assessments. We looked at five staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.
Updated
31 August 2022
About the service
Ideal Care Services Limited is a homecare agency providing care to people in their own homes. The service is registered to provide care to older people, people living with sensory impairments, mental health needs, dementia, physical disabilities and learning disabilities and/or autism. 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. There were four people receiving personal care at the time of the inspection.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
Right Support:
Staff supported people to live as independently as possible and be in control of their daily lives. People were provided with a choice in all their decision-making and families were involved where they wanted to be. People’s risks in relation to their care were managed and staff understood how to maintain people’s independence. There were sufficient staff to cover visits and people told us that they were generally on time with no missed visits. We were assured that the service were following good infection prevention and control (IPC) procedures to keep people safe.
Right Care:
People and their relatives told us they felt supported by staff in a kind, caring and dignified way. People’s differences were respected by staff and they had undertaken relevant training to effectively support people. People told us that the care was consistent and that staff knew them well. The registered manager tried to match people with a carer of their choice where possible. People’s right to privacy was respected and staff encouraged people to provide feedback about the care provided. Care plans were personalised and included information on people’s healthcare needs, preferences and hobbies. People’s preferences and abilities in relation to oral care were recorded clearly in care plans.
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.
Right Culture:
The culture of the service was open, inclusive and empowered people to live independent lives. People and their relatives were complimentary about the service, and felt their ideas and concerns would be listened to by the registered manager. People told us they felt that staff had helped them become more confident and independent, particularly following a hospital stay. Management had undertaken audits to look at ways of improving the service and identifying issues. Staff were complimentary about the management of the service and told us they were able to raise concerns with the manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 October 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.