Background to this inspection
Updated
22 November 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 Care Act 2014.
Inspection team
The inspection team consisted of one 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
Care4ocus Health is a domiciliary care agency registered to provide personal care to people in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the CQC 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 two working days' notice of the inspection because the service provides care to people in their own homes and we wanted to make sure that management were available on the day of the inspection site visit.
We visited the office location on 10 October 2022.
What we did before the inspection
We reviewed information we had received about the service since it was registered with the CQC. 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
During the site visit we met and spoke with the registered manager. We also met and spoke with office staff which included two clinical lead nurses, one business support staff and an administrative assistant.
We viewed a range of records. We looked at care records for six people and a sample of medicines records for four people. We also looked at six staff files in relation to recruitment, training and support. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.
We spoke with two people who received care from the agency and eight relatives. We also spoke with six care staff which included care workers and nurses. We obtained feedback from one care professional.
Updated
22 November 2022
About the service
Care4ocus Health is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides support to people of different abilities. The services they provide include personal care and medicines support. At the time of inspection, the service provided care to twenty people who received personal care. The Care Quality Commission (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:
People and relatives were satisfied with the care and services provided by the service. They spoke positively about the caring attitude and empathy shown by care staff. People felt safe in the presence of care workers. They were complimentary about how the service was managed and told us that care staff were caring, kind and respectful. People’s privacy, dignity and independence was respected and promoted.
Staff were also positive about the culture and ethos of the service. Staff told us they felt valued working at the service and there was a high level of job satisfaction.
Appropriate medicines management and administration processes were in place.
People were protected from abuse. Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.
Risks associated with people's care were assessed and monitored. Assessments were person centred and care was responsive to people's needs. Care plans provided staff with the information to manage the identified risks.
Recruitment processes ensured that care staff assessed as safe to work with vulnerable people were employed.
Staff followed infection prevention and control guidance to minimise risks related to the spread of infection.
There was an established staff team that was motivated and well trained to carry out their roles effectively. Staff were knowledgeable and competent to carry out their roles.
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.
Care plans were up to date and reviewed on a regular basis. Care staff supported people in line with their wishes.
There was a complaints policy and procedure in place. Management were open and transparent throughout the inspection and responded to any requests positively.
Staff told us they were well supported by management. They were confident that management would listen and address any concerns if they raised them.
Management monitored various aspects of the quality of the services through regular comprehensive audits and checks.
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
The service was registered with us on 16 April 2020 and this is the first inspection.
Why we inspected:
This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.
The inspection was prompted because the service has not had an inspection and a rating since it was first registered with us.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.