Background to this inspection
Updated
2 December 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 was carried out by 1 inspector 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 care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 15 November. We visited the location’s office and made telephone calls to people and their relatives on 16 November 2022.
What we did before the inspection
We reviewed information we had received about the service since they registered with CQC. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 4 people who use the service and 4 relatives about their experience of the care provided. We spoke with 6 members of staff including, the care manager, resource coordinator, management support and care workers.
We reviewed a range of records. This included 4 care and medication records. We looked at other records relating to the management of the service including recruitment, staff training and supervision, and systems for monitoring quality.
Updated
2 December 2022
About the service
Keelby Community Cares is registered to provide personal care to people in their own homes. The service is a domiciliary care agency that provides personal care and support services to people living in Lincolnshire. The service supports adults with a range of conditions including older people, physical disabilities and people living with dementia. At the time of our inspection, 23 people were using the service and receiving a regulated activity.
People’s experience of using this service and what we found
Risks were identified and were assessed to ensure people received safe care. People told us they felt safe when receiving support from staff.
People consistently told us staff arrived on time and they received support from the same core group of staff, which promoted good continuity of care. The provider had recruitment processes in place to ensure suitable staff were employed. Medicines were managed effectively, and the provider ensured all infection control measures were followed by staff.
Staff had been trained to perform their roles effectively. People were supported to have maximum choice and control of their lives. 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 care from staff who were caring and had a good relationship with them. Staff respected people's privacy and dignity. People were encouraged to be independent and to carry out tasks without support.
People received person-centred care. People's needs were assessed prior to the commencement of the service. The assessment included people's health, physical, emotional and communication needs. Care plans had been reviewed regularly to ensure they were accurate. Systems were in place to manage complaints and people's communication needs were met.
Systems to monitor the quality and safety of the service were in place. Staff reported having a positive relationship with the provider and felt communication was effective. Quality monitoring systems allowed for the effective monitoring of the service by the provider. The provider had an ambition to be innovative and put people at the centre of the service delivery. They welcomed any form of external and internal auditing and feedback received was treated as an opportunity to reflect and further improve the quality of the service for people.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for the service at the previous premises was good, published on 11 July 2017. The overall rating for the service has remained good based on the findings of this inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.