12 and 18 June 2015
During a routine inspection
This was an announced inspection which took place on 12 and 18 June 2015. This was the first inspection of this service at this location. The service had previously operated elsewhere under a different location name. At the time of this inspection there were 33 people using the service.
Complete Choice Care Services Limited provides a range of care services to people who live within their own homes. The service operates seven days a week and care packages can vary from short term visits to a sleep-in service. Services provided include assistance with personal care, help with domestic tasks, the preparation of meals, medication monitoring, planned outings, social activities and carer support.
Complete Choice Care Services Limited has a registered manager who was present on the day of the inspection. 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. The registered manager is also the director of the service.
People told us they felt safe with the staff that supported them and felt the staff had the right skills and experience to meet their needs. They also spoke positively about the kindness and caring attitude of the registered manager and the staff.
We found sufficient suitably trained staff, who had been safely recruited, were employed to ensure people received the support they required. We saw that staff received the essential training and support necessary to enable them to do their job effectively and be able to care and support people safely.
We saw that all the staff had undertaken training in relation to the Mental Capacity Act 2005 (MCA). This training should help staff understand that assessments need to be undertaken to determine if people have capacity to make informed decisions about their care, support and treatment. The registered manager demonstrated a good understanding of the MCA. The MCA provides legal safeguards for people who may be unable to make their own decisions.
We saw that suitable arrangements were in place to help safeguard people from abuse. Guidance and training was provided for staff on identifying and responding to the signs and allegations of abuse.
All the care staff who dealt with people’s medicines had received medicine management training and we found the system for managing medicines within people’s homes was safe.
People’s care records contained enough information to guide staff on the care and support required. The care records showed that assessments were completed around risks associated with people’s care needs. Risks were also assessed in relation to the home environment. We saw that plans were in place to help reduce or eliminate any identified risk.
To help ensure that people received safe, effective care and support, systems were in place to monitor the quality of the service provided.