Quality Care of Cheadle

Updated 21 July 2023

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 completed 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. They were supported by other members of the management team.

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 30 June 2023 and ended on 4 July 2023. We visited the location's office on 30 June 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 information gathered as part of a monitoring activity that took place on 18 May 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and members of the management team. We reviewed a number of records including 3 people’s care plans and daily records, 2 staff members recruitment files, rotas, policies and systems for governance.

We spoke with 5 people and their families, to understand their experiences of receiving support. We obtained feedback from 3 members of staff who worked at the service.

Updated 21 July 2023

About the service

Quality Care of Cheadle is a homecare agency providing personal care to older people and people with physical disabilities. At the time of our inspection there were 27 people receiving a regulated activity from the service. Not everyone who used the service received personal care. The Care Quality Commission (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 using this service and what we found

People felt safe and were supported by consistent carers who had been suitably recruited. Risks were assessed and mitigated as much as possible, and staff followed processes to reduce risk of infection. Medicines were suitably managed, and records maintained.

Systems of oversight were in place and the management team were committed to ensuring the quality of care people received was good. People spoke positively about the culture of the service and felt able to raise concerns. We have made a recommendation about system for oversight of the quality and safety of the service.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability.

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 26 February 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Quality Care of Cheadle on our website at www.cqc.org.uk

Recommendation

We have made a recommendation that the service review good practice guidance in relation to systems of oversight of the quality and safety of the service including in relation to training provided to staff.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.