Background to this inspection
Updated
14 February 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
The inspection was carried out by 2 inspectors.
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
We gave the service 24 hours’ notice of the inspection. We needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 17 January 2023 and ended on 19 January 2023. We visited the location’s office on 17 January 2023.
What we did before the inspection
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. We reviewed information we had received about the service since registration. We used information gathered as part of the monitoring activity that took place on 11 October 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people who used the service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the registered manager, field care supervisor and care staff. We reviewed a range of records. This included 4 people's care plans and multiple medicines records for people supported with their medicines. We looked at recruitment checks and training records for 5 staff members. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
14 February 2023
About the service
Kare 4 You is a domiciliary care agency providing personal care. The service can provide support to older and younger adults, people living with dementia, people with a physical disability, people with a sensory impairment, or mental health diagnosis and people with a learning disability and/or autistic people. On the day of the site visit there were 53 people using the service, 47 of whom receive personal care.
Not everyone who used the service 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.
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 location did not 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.
People’s experience of using this service and what we found
People were very positive about their experience and told us, “Staff are cheerful and they make me cheerful” and “I am very, very happy with them”. People consistently told us they would recommend the provider to people they know.
People told us they felt safe and were confident that staff had the necessary training to support them safely, training records reflected this. Staff told us they felt confident in monitoring safety and responding appropriately. Staff provided examples of how they could mitigate risks and risks to people had been assessed. People told us they felt medicines were supported well and they were informed of what their medicines were for whilst being supported. Records of medicines were consistent and there were no missed medicines but some information was missing and the registered manager rectified this immediately.
People told us that staff knew them well and felt this was helped by having consistency in staff. People’s records included some personal history and preferences with how care should be delivered but had less information about interests, likes and dislikes. People told us they felt confident the provider worked closely with health and social care professionals and that their consent for care was sought appropriately.
People described the staff as being very respectful and caring. People told us “the majority of staff put themselves out and always ask if there is more they can do”, “they ask permission” and “staff listen to you and respect your choice.” Staff spoke about people with respect and dignity.
People received personalised care, planned with them which was responsive to their needs. People knew how to give feedback and felt able to raise issues with the provider. People who had raised issues told us they felt they were resolved quickly and appropriately. One relative told us “I discussed it with them, and it was dealt with straight away. I was pleased with how quickly they responded.”
We observed the management team working together to promote an open and inclusive culture. There was a robust governance framework and responsibilities and requirements were understood by staff and management. Processes were in place to seek people’s and staff's views about the service. The provider had processes to monitor the quality of the service and to identify areas for improvement. Staff worked transparently and collaboratively with external stakeholders and agencies to plan and deliver people's care.
People were supported to have maximum choice and control of their lives and staff 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 on 29 November 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.