Care Just 4U

People’s experience of using this service:

People appreciated receiving care from regular staff who were appropriately trained. People told us, “I have regular staff, they are all lovely. They are skilled and respectful” and, “Staff always turn up, no missed calls.” One relative told us, “Staff are absolutely brilliant, we have the same staff, they are so good with my [relative].”

People and relatives using the service felt safe and said they would report any concerns to the registered manager, and were confident they would take the appropriate action. Staff wore uniform and carried photographic identification. New staff were introduced to people by regular staff, so they could be confident who was visiting.

Staff received an induction programme and training from appropriately qualified trainers. Supervision and observational supervision in the person’s home were carried out by the registered manager or care co-ordinator to monitor the standard of practice.

Care plans were person-centred and contained risk assessments, providing staff with clear guidance for effective care delivery.

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.

People were supported where necessary to take their medicines. Staff were trained in infection control procedures and were supplied with enough gloves and aprons to carry out their role safely to prevent cross infection.

Oversight of the service was undertaken by the registered manager and the care co-ordinator through working alongside staff and carrying out spot checks. This gave an opportunity for people and their relatives to speak directly to the management team.

Rating at last inspection: Good (published 5 April 2017)

Why we inspected: This was a scheduled comprehensive inspection.

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.

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

The inspection took place on 8th February 2017 and was announced. 48 hours' notice of the inspection was given because we needed to be sure that the registered manager would be available.

At the time of inspection 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 and associated Regulations about how the service is run.

People were safe at the service. They were protected from harm by staff who were aware of their safeguarding responsibilities. Staff understood what constituted abuse and knew what take action if abuse was suspected.

People had risk assessments and risk management plans in place to guide staff on how care was to be provided in order to prevent or minimise the risk of people coming to harm.

People who required support with medicines were assisted by staff who were trained and assessed as competent to give medicines safely.

Systems and processes were in place to ensure the safe recruitment of staff with sufficient numbers of staff employed to safely meet people’s needs.

Staff had access to training and regular supervision to equip them with the knowledge and skills to care and support people effectively.

The legal requirements of the Mental Capacity Act 2005 (MCA) were followed when people were unable to make specific decisions about their care. The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves.

People were supported to have enough to eat and drink. The service worked with health and social care professionals when staff had concerns about people’s health and wellbeing.

Staff were kind and caring and treated people with dignity and respect.

The service adopted a person-centred approach and care was tailored to meet people’s individual needs. Care plans detailed how people wished to be supported. . People were involved in the care planning process and in decisions about their care and treatment.

There were systems in place to support people if they wished to complain or raise concerns about the service.

The provider had systems in place to monitor the quality and safety of the service provided. . Feedback from people who used the service was sought and the information was used to drive improvements.

Staff felt well supported by the management team who they found approachable and accessible as they were hands-on providing care and support to people.

of fi