Archived: Cheshire Supported Service

Cheshire Supported Service is a domiciliary care service that provides care and support to 12 people living in their own homes.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating.

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

The service was not always well-led. Although they took appropriate action following our discussions, the registered provider had not ensured that safe recruitment and quality assurance procedures had been established. Some staff had not undertaken training relevant to their roles.

People told us they felt safe when receiving care and support. Staff were aware of measures to take to prevent and control the spread of infection. There was a procedure to record and monitor any accidents/incidents which may occur, none had occurred in the last twelve months. People who required support to take their medicines had received them as prescribed.

Staff were deployed in dedicated teams. This meant that people were supported by consistent staff who knew them well, allowing relationships to develop. People spoke positively about staff and the care they received, they said, “I feel very fortunate they are looking after me” and “I am very satisfied with the service.”

People were treated with kindness, respect and without discrimination. Staff supported people to maintain their independence and people were involved in decisions about their care.

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.

Staff, people using the service and relatives spoke positively about the support they received from the registered provider.

Why we inspected

This service was registered with us on 10/10/18 and this is the first comprehensive inspection. We have found evidence that the provider needs to make improvement, please see the safe, responsive and well-led sections of this full report. The provider has taken actions to mitigate the risk to people by ensuring that pre-employment checks were made.

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

Enforcement

We have identified breaches in relation to safe recruitment, safeguarding people from abuse and good governance. You can see what action we have told the provider to take at the end of this report.

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

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.