Care 4 You Direct Limited

Updated 17 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

This inspection was undertaken 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.

There was not a registered manager in post. However, a registration application had been submitted for consideration and was being processed at the time of this inspection.

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 manager would be in the office to support the inspection.

Inspection activity started on 20 July 2022 and ended on 29 July 2022. We visited the service on 28 July 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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.

During the inspection

We received feedback from three people and five relatives about their experience of the care provided. We received feedback from nine care workers and met with the provider, nominated individual and the manager. 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 care records and medication records. We looked at records in relation to recruitment and care worker supervision.

Updated 17 August 2022

Care 4 You Direct Limited is a domiciliary care service providing personal care and support to 19 people living in their own homes at the time of the inspection.

Not everyone who used the service always 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.

People’s experience of using this service and what we found

People were safe and protected from avoidable harm because management and care workers knew how to identify and report any concerns relating to the risk of abuse. Risks to people’s health, safety and well-being were assessed and measures developed to remove or reduce the risks. People were supported by care workers who had been safely recruited.

People’s medicines were managed safely. Care workers received appropriate training and had their competency assessed to help ensure they were sufficiently skilled and knowledgeable to safely administer medicines. Care workers had received training in infection control practices and personal protective equipment was provided for them. The management team took appropriate action following any incidents and learning was shared with the team.

Before care delivery started assessments were completed to help make sure people’s needs could be met. Management and care workers knew people well. They were able to promptly identify when people’s needs changed, and sought professional advice appropriately. People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and their relatives praised the kind and caring nature of care workers. People and their relatives were confident to raise any concerns with the management team. Everyone we spoke with during this inspection was satisfied with the care and support they received.

The management team was committed to providing a high standard of care to the people they supported as well as the care workers and understood their responsibilities under the Duty of Candour. People, their relatives and care workers spoke highly of the management team and told us they were always available and supportive.

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 and update

We inspected this service on 11 October 2021 in response to concerns raised with us. We found the concerns were substantiated and we identified a breach of regulations. The service registered with us on 16 June 2021, there was not enough evidence of sustained practice at the time of the inspection in October 2021, so we were unable to provide a rating at that time. The provider completed an action plan after the inspection to show what they would do, and by when, to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection and to provide a rating for the service under the Health and Social Care Act 2008.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.