About the service Stick Care Ltd is a domiciliary care agency providing support to older people living in their own homes, some of who were receiving end of life care. At the time of our inspection there were 11 people using the service. All people using the service received support with personal care.
People’s experience of using this service and what we found
The registered manager did not have a thorough knowledge of incidents and events that they had a legal responsibility to notify the Care Quality Commission about, and we have made a recommendation about this.
Systems were in place to help safeguard people from abuse. Risk assessments were in place which set out the risks people faced and included information about how to mitigate those risks. There were enough staff to meet people's needs and robust staff recruitment practices were in place. Medicines were managed in a safe way. Steps had been taken to help prevent the spread of infections. Accidents and incidents were investigated so lessons could be learnt.
Initial assessments were carried out of people's needs before they started using the service to see if the provider could meet them. Staff received training and supervision to support them in their role. The provider worked with other agencies to meet people's health care needs. People were supported to eat a healthy diet and were able to make choices about what they ate and drank.
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.
Relatives told us that staff were kind and caring and treated people well. People were supported to have control and choice over their daily lives. People's privacy was respected, and staff understood the importance of maintaining confidentiality.
Care plans were in place which set out how to meet the individual needs of people. People and relatives were involved in developing these plans, which meant they were able to reflect people's needs and preferences. The service used different ways to help communicate with people, depending on their individual needs. Relatives told us they had confidence that any complaints raised would be addressed. People’s end of life care was being met.
Quality assurance and monitoring systems were in place to help drive improvements at the service. There was an open and positive culture at the service which meant people, relatives and staff could express their views. The provider worked with other agencies to develop best practice and share knowledge.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 26 January 2018 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.