Background to this inspection
Updated
23 July 2021
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
The inspection team consisted of two inspectors. To support the inspection, one inspector reviewed records and documentation. They conducted telephone calls to people, their relatives and staff to gain their view of the service. One inspector visited the service location.
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. For this service the provider was also the registered manager.
Notice of inspection
We gave the service a short notice period of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
Inspection activity started on 15 June 2021 and ended on 23 June 2021. We visited the office location on 21 June 2021.
What we did before the inspection
We reviewed information we held about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager and care staff.
We reviewed a range of records. This included three people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
23 July 2021
About the service
Integrated Kare Solutions Limited is a domiciliary care service providing personal care to people living in their own homes. At the time of inspection, the service was providing care to three people.
People’s experience of using this service and what we found
People and their relatives told us they felt safe with the staff who visited them and they had trust in the management. Staff had received training in adult safeguarding and were confident that if they raised a concern to the registered manager it would be dealt with appropriately.
People and their relatives said staff were kind and caring. They said they were treated with dignity and staff promoted their independence. 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 received an initial care needs assessment which formed part of the person-centred care plan. People and their relatives told us they were involved in their care planning and were always offered choice. They told us staff were respectful of the person’s cultural needs and were polite. People and their relatives appreciated receiving care from the same staff group and told us staff never missed a call and usually arrived at their preferred time.
The service had a safe recruitment process in place and new staff followed an induction programme. Staff were experienced and people told us staff were skilful. The registered manager carried out regular staff supervisions and observational assessments to ensure staff were competent.
Staff had received infection prevention and control training including donning and doffing of personal protective equipment (PPE). People confirmed staff wore PPE and the registered manager conducted spot checks to ensure staff were wearing PPE correctly. The service followed government guidelines in relation to the COVID-19 virus pandemic and carried out risk assessments to mitigate risks.
The registered manager promoted an open and honest culture and led by example. Staff told us they felt valued and supported by the registered manager. The registered manager carried out regular audits as part of the service’s quality assurance process. People and their relatives told us the registered manager contacted them regularly either by telephone or visits to gain feedback on the service being provided.
The registered manager spoke enthusiastically about the service and future development. Staff told us the registered manager expected a high standard of care and they spoke positively about working for the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 9 March 2020 and this is the first inspection.
Why we inspected
This was a planned inspection of a new service.
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.