Wesleycare Limited

Updated 29 February 2024

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 team consisted of a CQC Operations manager, a CQC regulatory coordinator and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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

The inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

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.

During the inspection

We spoke with 8 people who used the service and 2 relatives. We spoke with 5 members of care staff plus the registered manager, care coordinator and the newly recruited deputy manager.

We looked at care records for 3 people who used the service. This included care plans, risk assessments and medicines records. We looked at the recruitment records for several members of staff and the governance systems the provider had in place to monitor the quality of the service.

Updated 29 February 2024

About the service

Wesleycare ltd is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, younger people, people with physical disabilities and people living with dementia. At the time of our inspection there were 39 people using the service.

People’s experience of the service and what we found:

At the time of the inspection there were enough appropriately skilled staff to meet people's needs and keep them safe. However, governance systems were not always in place to mitigate the risk of there being a lack of staff to support people. Staff told us they received support and supervision but there were no records available to evidence this.

People told us they were happy with their care and that the registered manager responded when they had concerns. We found risk assessments and risk mitigation plans were in place and medicines were managed in a safe way. Staff understood how to protect people from poor care and abuse and the service worked with other agencies to do so. Staff promoted equality and diversity in their support for people.

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.

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. The inspection was undertaken on 2 February 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question 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 inspection reports and timeline’ link for Wesleycare Ltd on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in relation to the provider's governance systems. Please see the action we have told the provider to take at the end of this report.

Follow Up

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