Invictus Complex Care

Updated 18 April 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

Three inspectors and an expert by experience carried out the inspection. 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

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 unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 received feedback from 3 people and 6 relatives about the quality of care and support people received. We received feedback from 12 staff members including, the registered manager, nominated individual, administrators, registered nurses and support workers. 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 5 people's care records and medicines records. We looked at 6 staff files in relation to recruitment. We also looked at records that related to the management and quality assurance of the service.

Updated 18 April 2023

About the service

Invictus Complex Care is a domiciliary care provider registered to provide personal care and treatment of disease, disorder or injury. At the time of this inspection people received support from Invictus Complex Care in their own homes. The service supported people with a variety of care and support needs, including people with sensory impairments, physical disabilities, autistic people and people with learning disabilities. They supported both adults and young children.

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. At the time of our inspection there were 15 people being supported with personal care by Invictus Complex Care.

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

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Culture: The service was well led. The quality assurance systems to assess and monitor the service had been made more robust by the provider which had improved the registered manager’s oversight of the service to ensure it was being managed safely and quality maintained. The provider was supporting people, relatives, professionals and staff to build up their trust and confidence in these changes. The provider was passionate about providing person-centred care and supporting people to achieve positive outcomes. They worked in partnership with other professionals to achieve this. Most staff we spoke to felt supported and listened to.

Right Support: The provider was able to demonstrate how they were meeting the underpinning principles of ‘Right support, right care right culture.’ 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. They supported people with complex health conditions and ensured staff were trained and competent which enabled people to be supported with positive risk taking.

Right Care: People were supported to make meaningful choices. There was an ethos of person-centred care and people's human rights were supported to be upheld. People were supported to lead inclusive and empowered lives. People had care plans in place which were person-centred.

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 2 December 2021, and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about care planning documentation, medicines, training of staff and governance. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, responsive and well-led sections of this full report.

Follow up

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