Mackley Homecare Limited

Updated 31 December 2022

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

Inspection team

The inspection was carried out by one inspector.

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

This inspection was announced. We gave the service 48 hours’ notice of the inspection to ensure the registered manager and staff would be present and available to speak with. Inspection activity started on 25 November 2022 and ended on 28 November 2022. We visited the office location on 25 November 2022.

What we did before the inspection

We checked the information we had about the service including notifications they had sent us. A notification is information about incidents or events that providers are required to inform us about. We asked the local authority who commission the service and the local authority safeguarding team for information they had about 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 help plan our inspection.

During the inspection

We met and spoke with the registered manager and the provider. Following the office visit we spoke with three people using the service and or their relatives to seek their feedback on the service provided. We reviewed a range of records including three care plans and care records, two staff recruitment records and staff training records. We also reviewed records used in managing the service for example, policies and procedures, monitoring tools and audits.

Updated 31 December 2022

About the service

Mackley Homecare Limited is a domiciliary care agency located within the Borough of Bromley. It provides personal care and support to people living within their own homes. Not everyone using Mackley Homecare Limited may receive a regulated activity. CQC only inspects the service being received by people provided with personal care; that is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection the service was providing support to 10 people.

People’s experience of using this service

People and their relatives spoke positively about staff and the care they received. Safeguarding and whistle blowing policies and procedures were in place and staff had a good understanding of them. Recruitment checks took place before staff started work and there were enough staff to meet people’s needs appropriately. Risks to people were assessed to ensure their needs were safely met. Medicines were managed and administered safely. Policies, procedures and personal protective equipment was in place to reduce the risk of infections.

Assessments of people’s needs and wishes were completed before they started using the service. People received support to access services where required. People were supported to maintain a healthy diet where this was part of their plan of care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's diverse needs were met appropriately. People's communication needs were assessed and met. People knew how to make a complaint if they were unhappy with the service.

There were systems in place to monitor the quality of care that people received. The service worked in partnership with health and social care professionals. The provider took people’s views into account and used their feedback to help drive service improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 03 April 2019), however we made a recommendation to ensure the timely implementation of medicines policies and practices. At this inspection we found improvements had been made.

Why we inspected

This was a planned follow up inspection to assess if the provider was complying with our regulations.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.