K.T.M. Care Limited

Updated 24 May 2019

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:

This inspection was carried out by one inspector.

Service and service type:

K.T.M Care Limited is an autism specialist service registered to provide personal care to children, young people and adults with autism in their own homes.

The service had a manager registered with the Care Quality Commission. The registered manager was also the registered provider. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was announced and we gave the provider 24 hours’ notice. We carried out a visit to the agency office on the 9 May 2019 and visited one person using the service in their home. On the 13 May 2019 we spoke to three relatives and two people who used the service on the telephone.

What we did:

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority. Before the inspection, the provider completed a Provider Information Return (PIR). This is key information providers are required to send us about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We spoke with six members of staff including the registered manager, deputy manager, seniors, administrator and support workers.

We reviewed a range of records about people's care and how the service was managed. This included review of four people's care records, medicines administration records, policies, staff recruitment and training. We also reviewed the system for recording accidents, incidents and quality assurance audits the management team had completed.

Updated 24 May 2019

About the service: K.T.M Care Limited is an autism specialist service registered to provide personal care to children, young people and adults with autism in their own homes as well as people with a mental health need. At the time of our inspection there were 19 people using the service.

People’s experience of using this service:

People received a reliable, flexible service, with care delivered by compassionate, kind and well-trained staff.

People were supported to have maximum choice and control of their lives in the least restrictive way possible; the policies and systems in the service supported this practice.

The registered manager had clear aims and objectives for the service. Staff had a good understanding of people’s needs and provided personalised care which put people at the heart of the service.

Systems were in place to seek people’s views and monitor the quality and safety of the service, with planning for continuous improvement of the service.

People received care and support in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. People with learning disabilities and autism using the service were supported to live as ordinary a life as any other citizen.

There were enough staff at the time of our inspection to meet people’s needs and provide personalised care in a timely manner.

Staff understood people well and their preferred methods of communication, where they lacked verbal skills. Staff had respectful caring relationships with people they supported. They upheld people’s dignity and privacy and promoted their independence.

Staff roles and responsibilities were clear. People were supported by skilled staff with the right knowledge and training. Positive, enabling relationships had developed between people and the staff who supported them.

People received their medicines as prescribed. Systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated, trends analysed, and actions were taken to prevent recurrence.

Care plans were detailed with clear explanations of control measures for staff to follow to keep people safe. Support was planned and delivered in a structured way to ensure people's safety and wellbeing.

The service continued to be well led. The registered manager and deputy manager worked well to lead the staff team in their roles and ensure people continued to receive a good service. Staff and the registered manager demonstrated a genuine interest and passion to deliver personalised care.

Staff worked in partnership with professionals to deliver care and support and maintained links with the local community. The service was provided flexibly to enable people to access a varied range of work, social and leisure opportunities, according to individual needs and choice.

Rating at last inspection: Good (report published on 22 November 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

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.

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