This inspection took place on 11 February 2016 and was announced. The registered manager was given 48 hours’ notice because the location provides a domiciliary care service. This was to ensure that members of the management team and staff were available to talk to. At our last inspection in August 2013 we found the provider was meeting the regulations we inspected. The inspection was carried out by one inspector.Immaculate Healthcare Services Limited provides support with personal care to people living in their own homes. At the time of this inspection there were 85 people using the service.
There was a registered manager in place. 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.
Most people told us that they were happy with the care they received and there were enough staff to meet their needs. Records we saw indicated staff had received appropriate training to keep people safe including moving and handling, health and safety, safeguarding and food safety training. Staff received on-going support through staff meetings and supervisions.
We saw safeguarding procedures were robust and staff understood how to safeguard the people they supported. People were cared for by staff who had completed the necessary pre-employment checks to ensure it was safe for them to work for the service.
People where appropriate, were supported to take their medicines and their nutritional needs were being met by the service. The registered manager worked well with external health and social care professionals to make sure people received the care and support they needed. People were referred onto the appropriate service when concerns about their health or wellbeing were noted.
People told us staff always treated them with kindness and respect and they encouraged people to maintain their independence and were mindful of their privacy and dignity.
People care records and risk assessments had information for staff to help them provide the personalised care to people using the service. People were involved in planning and agreeing their care and support arrangements. The registered manager and staff understood the principles of the Mental Capacity Act (MCA) and how to put these into practice.
There were quality checks undertaken to ensure people received care and support in accordance with their needs and preferences. People said they knew how to make a complaint if they were unhappy about the support they received.
People were asked for their opinions of the service through telephone calls, care plan reviews and quality monitoring surveys. The management team welcomed suggestions on how they can develop the services and make improvements. Where shortfalls or concerns were raised these were addressed.