Background to this inspection
Updated
30 November 2022
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 Health and Social Care Act 2008
Inspection team
The inspection team consisted of 1 inspector.
Service and service type
Kulan care is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We carried out the inspection visit on 16 November 2022.The provider was given 48 hours' notice because the registered manager can be out of the office supporting staff or providing care. We needed to be sure that they would be available.
Inspection activity started on 10 November 2022 and ended on 17 November. We visited the location’s office on 16 November 2022
What we did before the inspection.
Before our inspection, we reviewed the information we held about the service which included statutory notifications and safeguarding alerts and the Provider Information Return (PIR), which the provider completed before the inspection. The PIR is a form that asks the provider to give some key information
about the service, what the service does well and improvements they plan to make.
During our inspection
We went to the service's office and spoke with the registered manager and 2 care staff. We looked at 2 care records and 3 staff records; we also looked at various documents relating to the management of the service. Before the inspection visit, we spoke to 2 relatives for the people who used the service.
Updated
30 November 2022
About the service
Kulan care is a domiciliary care agency that provides care and support to people in their own home. At the time of our visit the service was providing personal care to two people.
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 the service
Risks to people were assessed and regularly reviewed. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infection. Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled people to achieve effective outcomes. Staff supported people to take medicines safely.
People's care was planned and risks to their safety and wellbeing were assessed. The agency reviewed these plans regularly, involving people in these reviews and asking for their opinions. They delivered good quality care which had led to improvements in people's health and well-being.
People and staff praised the manager of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the manager.
The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.
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.
Care plans contained information about each person’s individual support needs and preferences in relation to their care and support. Recruitment practices were safe and relevant checks had been completed before staff worked at the service.
People confirmed the service did not miss any care calls and that staff were always on time.
People received care and support from a small group of staff, which provided consistency.
The managers of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.
The provider had systems in place to monitor and improve the quality and safety of the service provided. There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued.
More information is in the full report on our website at www.cqc.org.uk.
Rating at last inspection
At the last inspection we rated this service as Requires Improvement. The report was published on 26 November 2021.
Why we inspected
Our last inspection identified shortfalls related to the running of the service. The shortfalls we identified related to the lack of adequate assessment of risks to people's health and wellbeing and risks associated with delivering care. A further shortfall was that the agency had not completed mental capacity assessments to check whether people could make decisions about their care. At the last inspection, we found two breaches of legal requirements. We requested an action plan be sent to us to show us how the service was going to improve care. At this inspection we found improvements had been made in the areas of concern, and the breaches had been addressed.
We carried out a focused inspection of this service on 16 November 2022, this inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions Safe, Effective and Well Led
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner.