Archived: Complete Aid Services Ltd

Updated 1 March 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook a focused inspection of Complete Aid Services on 28 November 2016. We carried out this inspection in response to concerns raised by health care professionals about the level of support and supervision provided to care staff. We inspected the service against one of the five questions we ask about services: is the service effective? This was because the concerns raised by the healthcare professionals highlighted a risk that the provider may not be meeting legal requirements in relation to this question.

The inspection team consisted of one adult social care manager and one adult social care inspector.

Before our inspection we reviewed the information we held about the service. We reviewed notifications of incidents that the provider had sent us since the last inspection. A notification is information about important events, which the service is required to send us by law. We also reviewed information from those clinical commissioning groups that have contracts with this service.

During the inspection we spoke with the registered manager, two directors, two care support workers and the clinical lead for the service. We also spoke with the parents of two children receiving care from the service. We examined a number of records relating to the day to day management of the service including recruitment and personnel files, complaints records and audits. We also inspected three of the care records of people using the service.

Updated 1 March 2017

This focused inspection took place on 28 November 2016 and was announced.

We previously carried out an announced inspection of this service on 20 and 21 June 2016. and the service was rated as overall requiring improvement. We found breaches in regulations relating to good governance and staffing and served warning notices to the provider in respect of these. Since the last inspection concerns have been raised about the level of clinical support and supervision provided to staff, and the ability of the service to deliver safe care to children with complex needs. As a result we undertook a focused inspection to look into those concerns. This report only covers our findings in relation to those concerns. You can read the report from our last inspection, by selecting the 'all reports' link for Complete Aid Services on our website at www.cqc.org.uk.

Complete Aid Services Ltd is a family run business that has been established as an independent domiciliary care service providing emotional and practical support to children who have life threatening or terminal illnesses within family homes in the Cheshire, Kirklees and the Preston area.

The service was providing the regulated activity 'personal care' to 9 people with a broad spectrum of needs during our inspection.

At the time of the inspection there was a registered manager at Complete Aid Services Ltd. 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.

We could not improve the rating for safe from requires improvement because to do so requires consistent good practice over time. We will check this during our next planned comprehensive inspection