Background to this inspection
Updated
13 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.
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
This inspection was unannounced.
What we did before the inspection
We looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and two relatives about their experience of the care provided. We spoke with twelve members of staff including the registered manager, nominated individual, care coordinators and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We looked at a range of records. These included six people's records related to their care and support, medicines records, five staff recruitment records, staffing rotas, minutes from meetings and records related to the auditing and monitoring of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
13 August 2022
About the service
Adada Care Services(Cheshire) is a domiciliary care service providing care and support to people living in their own homes. At the time of our inspection the service was providing personal care to 114 people.
People's experience of using this service and what we found
Adada Care Services (Cheshire) had an open and transparent culture resulting in an effectively organised, supportive and well-run service. The registered manager and nominated individual were clear about how the service should be provided and they led by example. Care workers who supported people and the office staff team were passionate and fully committed to delivering high quality person-centred care and support to people.
People's needs were comprehensively assessed before they start using the service, people and their relatives were fully involved in the assessment and care planning processes. Staff had established supportive relationships with people and knew them extremely well. Staff provided people with person-centred care. Staff supported people to access healthcare professionals when required and supported people to manage their medicines safely.
The provider was driven in supporting their staff and provided access to resources to benefit the health and wellbeing of employees. Care workers spoke very highly about working for the service. People told us their care workers were caring and kind. Care workers had a good understanding of how to support people in a way that promoted their privacy, dignity and independence.
The provider ensured people’s needs and choice were met and involved people in making decisions about their care. People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible and in their best interests.
People's care records were thorough, accurate and reflected people’s needs and how they were met. Staff went above and beyond to ensure people were safe.
The provider had systems in place to protect people from the risk of abuse and people told us they felt safe. Risk assessments were completed to help identify and minimise risks people faced. Infection control measures were safe. Steps were taken to learn lessons if things went wrong.
Mental Capacity Act
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.
This service was registered with us 17 February 2021 and this is the first inspection.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk