We carried out a review of the data available to us about 1 To 1 Care UK Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 1 To 1 Care UK Ltd, you can give feedback on this service.
This service is a domiciliary care agency (DCA). It provides personal care to people living in their own homes, including people living with dementia. On the day of the inspection 48 people were receiving personal care.
People’s experience of using this service:
People continued to be safe. Risks to people's individual conditions and their environment had been assessed, recorded and updated when people’s circumstances changed. There were sufficient staff and people experienced continuity of care. The provider followed safe recruitment processes. People received their medicines as prescribed.
People continued to receive effective care from staff that had ongoing training that was relevant to their roles. People were supported to have choice and control of their lives and staff respected their rights to make their own decisions. People, if needed, were supported to access healthcare services and eat and drink well.
The service remained caring. Staff were caring and treated people with dignity and respect. People were supported to be independent as much as possible. People’s privacy was respected, and people’s personal care records were kept secure to ensure confidentiality.
People received support that met their assessed needs. Staff knew people’s needs well and this allowed them to respond promptly to any changes. People had opportunity to feedback their views in a number of ways and the service took action as a result of feedback to improve.
The registered manager ensured people and staff were involved and consulted. The management team monitored various aspects of the service delivery and took appropriate corrective action when required. The team were open, transparent and shared the same vision of providing a person centred approach to people.
Rating at last inspection:
Good (report published 24 November 2016).
Why we inspected:
This was our scheduled, planned inspection based on previous rating
Follow up:
We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
1-1 Private Care Domiciliary Care Agency (DCA) provides personal care services to people in their own homes. At the time of our inspection 47 people were receiving a personal care service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they were safe. Staff understood their responsibilities to identify and report all concerns in relation to safeguarding people from abuse. Staff had completed safeguarding training.
The service sought people's views and opinions and acted upon them. People and their relatives told us they were confident they would be listened to and action would be taken if they raised a concern. Where risks to people had been identified risk assessments were in place and action had been taken to manage the risks. Staff were aware of people's needs and followed guidance to keep them safe.
People received their medicines as prescribed. Records confirmed where people needed support with their medicines, they were supported by staff that had been appropriately trained. The registered manager and senior care staff carried out observations on staff to ensure that the correct standard of care was being delivered.
Staff spoke positively about the support they received from senior care staff and the registered manager. Staff had access to effective supervision. People told us and staffing rotas confirmed there were sufficient staff to meet people's needs.
People were supported by staff who had the skills and training to carry out their roles and responsibilities. People benefitted from caring relationships with the staff who had a caring approach to their work. The service had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.
The registered manager and staff understood the Mental Capacity Act (MCA) 2005 and applied its principles in their work. The MCA protects the rights of people who may not be able to make particular decisions themselves.
Staff and the registered manager shared the visions and values of the service and these were embedded within service delivery. The service had systems to assess the quality of the service provided. Learning from audits took place which promoted people's safety and quality of life.
People were supported to maintain good health. Various health professionals were involved in assessing, planning and evaluating people's care and treatment.
People we spoke to said that carers respected their privacy and dignity. One person said that this aspect of care was 'very good' while another person described staff as 'kind, gentle and nice.'
People valued the care they received. A person told us 'I couldn't manage without them.'
People told us they felt their safety was promoted by the service. One person said it 'gives me confidence'.
The provider had mechanisms in place to assess and monitor service quality. A person who uses the service said 'I think they're absolutely great. I'm very pleased with them.'
We saw that people made choices about how their care was to be delivered. Where people needed support with making decisions we saw that the provider had included all relevant parties.
People we spoke with confirmed that they had care plans that were regularly reviewed with their input. We saw people were supported to maintain their independence.
We found that people's care plans were detailed and individualised. People told us that their care was delivered taking account of their wishes and preferences.
We found that the provider had arrangements in place to manage medicines appropriately and safely. We spoke with staff and they knew and implemented these arrangements consistently. Some people told us they managed their own medicines.
We saw that staff were supported and appraised to ensure that they were competent to deliver care appropriately. Staff we spoke with told us that they found working for the provider to be 'very good', and 'there is always support'.
The provider had a comprehensive complaints system in place. People told us that they knew how to make a complaint. A relative we spoke with told us 'I feel comfortable contacting the office if I have any concerns. I never worry that it will affect the care my mother gets from them'.