Care for You (UK) Limited

Updated 6 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We inspected the service because it was previously rated 'Requires Improvement' and it was time for us to return to check the provider had taken action to improve the service.

This comprehensive inspection was carried out by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Inspection activity started on 3 December 2018 and ended on 8 January 2019. This included telephoning people to get their views on the care they received. We visited the office on the 8 January 2019 to speak with the registered manager and staff; and to review care records, policies and procedures. The office visit was announced. We told the provider we would be coming so they could arrange to be there and to arrange for care staff to speak with us while we were there.

Prior to the office visit we reviewed the information we held about the service. We looked at the statutory notifications the service had sent us. A statutory notification is information about important events which the provider is required to send to us by law. We reviewed the ‘Share your experience’ information people who used the service had sent us since the last inspection.

We contacted the local authority commissioners to find out their views of the service provided. Commissioners are people who contract care and support services paid for by the local authority. They had no concerns about the service.

We reviewed information the provider sent us in the Provider Information Return (PIR) during the inspection visit. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We found the PIR was an accurate reflection of the service.

We telephoned people who used Care For You (UK) Ltd to ask them their views of the service. We spoke four people and one relative. We used this information to help us make a judgement about the service.

During our office visit on 8 January 2019 we spoke with the registered manager, a director, a senior care staff and three care staff.

We reviewed four people’s care records to see how their care and support was planned and delivered. We looked at other records related to people’s care and how the service operated including, safeguarding records, three staff recruitment files, staff training records and the provider’s quality assurance audits.

Updated 6 February 2019

We inspected this service on 8 January 2019. The inspection was announced and carried out by two inspectors and an expert by experience.

Care for You (UK) Limited is a domiciliary agency providing 24 hour, live-in-support to people living in their own home. At the time of our inspection 10 people were receiving personal care from the provider.

At our last comprehensive inspection in June 2017 the provider was not meeting all the regulations. We found a breach of Regulation 19, in relation to safe recruitment of staff, and improvement was needed in the key areas of safe and well led. We rated the service ‘Requires Improvement’ overall.

We asked the provider to complete an action plan to show what they would do and by when to improve the service. At this inspection we found the provider had made the required improvements and was no longer in breach of the regulations. We rated the service as Good.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People received care which protected them from avoidable harm and abuse. Staff understood people’s needs and knew how to protect them from the risk of abuse. Risks to people’s safety were identified and assessments were in place to manage risks. People were supported to take prescribed medicines by staff who had received training to assist people safely.

Recruitment checks were completed to ensure new staff were suitable to support people who used the service. Staff received regular training that provided them with the skills and knowledge to support people’s needs. There were enough staff to meet the needs of people who used the service.

The managers and staff understood their responsibilities in relation to the Mental Capacity Act 2005. People were involved in making every day decisions and choices about how they wanted to live their lives.

People received support from live-in care staff that they knew well. People said staff were kind, caring, and respected their privacy. People were supported to have sufficient to eat and drink and their health needs were regularly monitored. The support people received helped them to live independently in their own homes.

The service was responsive to people’s needs and wishes. People were provided with care and support which was individual to them. Support plans were detailed and personalised. Plans provided guidance for staff about how to support each person in the way they preferred. People’s care and support needs were kept under review and staff responded when people's needs changed.

Staff received good support from the management team who they said were always available to give advice. There were effective and responsive processes for assessing and monitoring the quality of the service. The provider used feedback from people to assist them in making improvements to the service. The management team worked well together and were committed to providing a quality service to people.