A.C.C.E.S.S 2016 Ltd

Updated 14 January 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and four relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, three support workers and the care coordinator.

We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service.

After the inspection

We looked at information requested from the provider to show how they were meeting the regulations. This included training data and policies. We sought feedback from two professionals who had worked with some of the people supported by the service.

Updated 14 January 2020

About the service

A.C.C.E.S.S 2016 Ltd is a domiciliary care agency providing personal care to older and younger adults with a range of needs, including dementia. At the time of the inspection the service was supporting 16 people.

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

People felt safe when being supported by staff. People had their risks assessed and managed appropriately. People felt staff arrived mostly on time and were always informed if they were running late. People were supported to take their medicines safely.

People’s needs had been assessed prior to being supported to ensure the service could meet them. People were supported to lead healthier lives by staff who were appropriately trained. 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 by friendly, kind and caring staff. People felt respected and treated with dignity. People were able to express their views and maintain their independence as much as possible.

People and their relatives were involved in care planning which ensured their views and preferences were included and the care they received was personalised. People’s complaints had been looked into promptly and thoroughly, with changes being made where necessary to improve the care provided.

People spoke positively about the management and running of the service. People and staff were actively engaged by the service. Good quality monitoring processes ensured care was delivered at a high standard.

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 09 September 2017). Since this rating was awarded the registered provider of the service has changed.

Why we inspected

This was a planned 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.