Background to this inspection
Updated
18 June 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 an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides nursing 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 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 12 May 2021 and ended on 26 May 2021. We visited the office location on 12 May 2021.
What we did before the 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.
During the inspection
We spoke with two people who use the service and two relatives about their experience of the care provided. We spoke with seven staff members including the registered manager, the nurse manager and care workers.
We reviewed a range of records. This included three people’s care records and multiple medicines records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service including audits and policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
18 June 2021
About the service
Komplex Care is a domiciliary care agency providing nursing and personal care to adults and children with a range of support needs in their own homes. At the time of the inspection they were supporting 22 people.
People’s experience of using this service and what we found
People told us they felt safe when being supported by staff. People’s needs and risks were assessed, and staff knew how to manage them. People were supported to take their medicines as prescribed. Staff used the appropriate personal protective equipment (PPE) to ensure people were protected from risk of infection.
Staff had received training to ensure they had the skills and knowledge to meet people’s needs. People were supported to meet their nutritional needs. People’s care plans were updated regularly and reflective of their current needs.
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.
People told us staff were kind and caring. People were encouraged to remain as independent as possible and were given choices.
People and their relatives were involved in the planning and reviews of their care. People and relatives knew how to raise concerns. Where complaints had been raised, they had been responded to appropriately and action taken as a result.
The provider had quality assurance systems in place and in some cases, action had been taken as a result to improve the service. The registered manager had identified areas for improvement within the service and these were in the process of being actioned. Staff had regular supervisions and felt supported by their management team.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 10/10/2019 and this is the first inspection
Why we inspected
The inspection was prompted in part due to concerns received about skin integrity, training and care records. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well-led sections of this full report.
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.