Care Compassion Limited

Care Compassion Limited provides a domiciliary care service that delivers personal care and other support to people in their own homes. Not everyone who used the service received personal care. Care Compassion Limited also provided a range of other services that included; cleaning, shopping and supporting people with a range of activities. The Care Quality Commission (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 inspection, five people were receiving personal care.

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

People told us that staff were kind to them and they received a service which met their individual needs and preferences.

People were fully involved in the assessment, planning and review of their care. People were aware of their care plan, which they kept in their home. Staff were knowledgeable about people’s care needs and provided personalised care.

People felt safe when receiving care from staff. People’s risk assessments were detailed and included guidance for staff to follow to manage and reduce risks to keep people safe.

Staff knew how to recognise and report any concerns they had about people's welfare.

Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people's needs. They received the support and guidance they needed from the registered manager.

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.

The provider had systems in place to manage and resolve complaints.

People and their relatives had opportunities to provide feedback about the service, and action was taken to address issues they raised.

Staff generally arrived on time and always stayed for the duration of the planned call. People told us the service was flexible and they were kept informed of any changes.

The registered manager was very committed to providing people with good personalised care and supported people to achieve the best possible outcomes.

Systems were in place to assess and monitor the quality and delivery of care to people. The registered manager was committed to identifying ways of continually improving the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 22 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The service was last inspected on the 26 July 2016 but was not rated as at that time only one person was receiving a service from the agency, which meant that we did not have enough evidence to enable us to form a judgement about the quality of the service for each of the five key questions and rate the service.

Care Compassion Limited provides a domiciliary care service that delivers personal care and other support to people in their own homes. At the time of our inspection there were four people receiving assistance with their personal care. Care Compassion Limited also provided a range of other services that included; cleaning, shopping and supporting people with a range of activities.

The service has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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 using the service and their relatives informed us that they were happy with the care and the other services they received. People told us that staff treated them with respect and they felt safe when receiving care from the service. People received consistency of care from staff that they knew.

People received person centred care which was led by them. People were supported to maintain control of their lives, and were fully involved with all decisions about their care. Staff knew people well and provided people with the care and support they needed and wanted. The service understood the importance of encouraging and promoting people's independence.

Care staff understood the importance of obtaining people’s consent before supporting them with personal care and other tasks.

There was a safeguarding adults’ policy and suitable arrangements for safeguarding people from abuse. People told us they felt safe when receiving the service. Staff had received training to make sure they knew how to recognise and report any concerns. Staff members knew how to safeguard the people they were supporting.

Risks to people’s safety were identified and guidance was in place to minimise the risk of people being harmed.

The organisation carried out appropriate checks to reduce the risk of employing staff that were not suitable to work with people using the service. Staff received the support and training they needed to carry out their role and responsibilities.

Arrangements were in place to make sure medicines were managed safely and people received their medicines as prescribed.

People, who received support with their meals, had their nutritional needs and their individual dietary preferences assessed and met.

People knew how to make a complaint and were confident any concerns that they raised would be resolved.

People and their relatives told us they thought the service was well run and would recommend it. They spoke very highly of the registered manager who they told us was open and approachable and often went the “extra mile” to ensure people received the care they needed. The service liaised closely with health and social care professionals to make sure people’s needs were met.

There were systems in place to carry out checks, monitor the service and to make improvements when needed.

The service was registered with us in December 2015. The services they provide include personal care, housework and assistance with preparation of meals. This was the first inspection of the service. We will not be able to award a rating because, the service had only one person at the time of our inspection, which meant we did not have enough evidence to enable us to form a judgement about the quality of the service for each of the five key questions and rate the service. The registered manager informed us that they had plans to assess another person with the aim of providing them with a service and would continue to develop the service with the goal of providing support for more people in the future.

The service has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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 using the service and an advocate informed us that they were satisfied with the care and services provided. The person using the service informed us they had been treated with respect and they felt safe when cared for by the service. There was a safeguarding adult’s policy and suitable arrangements for safeguarding people from abuse.

The service had procedures for monitoring and managing risks to people.

A person using the service was being provided with the care and support they needed from the registered manager. At the time of the inspection no care workers were employed by the service but two care staff were in the process of being recruited. A senior member of staff who had safeguarding and recruitment responsibilities and an office administrator were currently employed by the service.

A person told us the registered manager was very kind, they were treated with dignity and their privacy was respected. People received some support with their meals and their individual dietary preferences were met.

The registered manager understood their responsibilities in relation to the Mental Capacity Act 2005. The person who received care told us they were supported to make choices and were involved in all decisions about their care and that their consent was always sought when they were assisted with their care and supported in other areas.

People knew how to raise complaints or concerns and were confident they would be addressed appropriately by the registered manager.

The service was well managed. There were systems in place to carry out checks and monitor the service. The person using the service told us they were frequently asked for feedback about the service they received.