About the serviceAmara Care Limited is a domiciliary care agency providing personal care and support to people in their own homes.
The service is registered to provide support to people who are living with dementia, people who have learning disabilities, mental health needs, drug and alcohol misuse needs, sensory impairment, physical disabilities and people with an eating disorder.
The service can support older people, younger adults and children. Some people lived in a 'supported living' setting, where a small number of people lived together with support, so that they can live as independently as possible. At the time of our inspection the service was providing personal care to 26 people.
Not everyone who used the service received personal care. 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
Improvements had been made since the last inspection in the ‘supported living' settings. Staff culture had improved following changes in staffing. People told us they were happy with the service and had excellent staff to support them. Our observations during inspection supported this.
People were supported by staff who were trained to meet their needs and staff were regularly supported to do so with regular supervisions and appraisals.
Care plans were detailed and person-centred and provided clear guidance to staff on how to care for people effectively. Care plans were regularly reviewed and updated when required.
The registered manager had implemented a new quality assurance system to carry out regular audits of the service to drive improvements within the service. Regular audits had been carried out and identified actions which needed to be taken. However, accidents and incidents were not always reviewed by the registered manager and actions not recorded. This meant the registered manager could miss opportunities for improvement within the service. We have made a recommendation about this.
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.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care and support provided to people maximised their choice, control and independence. People were involved in all aspects of their care and future planning. Care provided was centred around the person and promoted people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of the management team and support staff ensured people lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 23 October 2020) and there were multiple breaches of regulation. The provider completed an action plan after the inspection to show what they would do and by when to improve .
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating. This report only covers our findings in relation to the review of the key questions Safe, Effective and Well-led.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Requires Improvement to Good. This is based on findings at the inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Amara Care Limited on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.