We carried out a review of the data available to us about Caremark Barking and Dagenham on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Caremark Barking and Dagenham, you can give feedback on this service.
Caremark Barking and Dagenham is a domiciliary care service providing support with personal care to people. The service provides support to older people, most of who required support with end of life care. At the time of our inspection there were seven people using the service, but only four of them received support with personal care. Not everyone who used the service received personal care. 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.
People’s experience of using this service and what we found
People and relatives spoke positively about the service. A relative told us, “I would give them five stars, if that is the top rating.”
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. Systems were in place for investigating accidents and incidents.
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 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.
People and 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. People’s communication needs were met. People and relatives told us they had confidence that any complaints raised would be addressed. People's end of life care need were 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
At the last inspection the service was not rated (Report published 15 January 2021). At this inspection the service has been rated as Good.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Caremark Barking and Dagenham is a domiciliary care service. The service is based in the London Borough of Barking & Dagenham. The service provides personal care to adults in their own homes. Not everyone who used the service received personal care. 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 the inspection, one person was using the service.
People’s experience of using this service and what we found
There were procedures for staff to report abuse to keep people safe. Staff followed infection control procedures. There were suitable numbers of staff in the service and they were recruited safely.
Staff were provided with training so they had the skills to support people. Staff received supervision to discuss their work and told us they were supported by the management team.
People were involved in decisions made about their care. People were supported to maintain their health and nutrition. The service worked in collaboration with health care professionals, to keep people in good
health.
People had access to a complaints policy if they were not happy with the service. There were systems to monitor the quality and safety of 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 and update
This service was registered with us on 15/02/2020 and this is the first inspection.
Why we inspected
We carried out this inspection following a routine review of information we held about this service. Our intelligence indicated that that there may be a higher level of risk at this service because the service did not have a registered manager and had not been inspected since registering. We needed assurance people were receiving a safe service and we made a decision to examine any risks to people. As a result, we undertook a targeted inspection to review parts of the key questions of safe, effective, caring, responsive and well-led.
CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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.