Background to this inspection
Updated
17 March 2023
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
This inspection was carried out by 1 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave the service 15 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 31 January 2023 ended on 15 of February 2023. We visited the location's office on 2 February 2023.
What we did before the inspection
We reviewed information we had received about the service. 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.
During the inspection
We spoke with the registered manager. We reviewed a range of records. This included 4 people's care plans, risk assessments, recruitment records, quality audits, daily records and training records. We spoke with 3 staff and 3 relatives. We reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records and safeguarding records.
Updated
17 March 2023
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 service did not provide 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.
About the service
Mitender Care Limited Ltd is a domiciliary care agency providing personal care and support to people living in their own homes. for the service provides support to older people with dementia, learning disabilities or autistic spectrum disorder and Children. At the time of this inspection there were 4 people using the service. 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
Right Support:
People and relatives we spoke with gave positive feedback about the care they received. A relative told us, "I would recommend them to other people that are looking for a good service for [people]. They communicated well; the staff build up relationships with [people]. Staff care about what they are doing, and they give 100% when they visit my [relative].”
People who used the service were appropriately assessed before their support began. The service worked with People’s relative to ensure the service could be meet their needs safely. People told us that they felt safe in the care of the provider.
Right Care:
There were sufficient staffing levels to meet people's needs and the provider carried out robust recruitment checks to ensure that staff were recruited safely. The service took appropriate steps to help prevent the spread of infections. Accidents and incidents were reviewed to help prevent their re-occurrence. Medicines were managed in a safe way.
People and relatives told us they were treated with kindness and their privacy was respected by staff. They were supported to express their views and were involved in making decisions about their support with family help. People’s care plan was detailed and kept up to date to ensure they received effective care and support.
Right Culture:
People’s relative’s spoke positively about the management team and staff. One relative told us, “My [relative] receives good care by trained staff. Staff understood how to support my [relative] and they are always happy for me to give advice if needed.”
Staff told us that the registered manager promoted an open culture and had a clear vision about the service and the support they delivered to people. The service carried out a range of audits to ensure a good quality service was provided.
People who used the service was 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
This service was registered with us 20 May 2020 and this is their first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Mitender Care Limited Ltd 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.