Background to this inspection
Updated
8 October 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
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 all of this information to plan our inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We visited the service’s office and visited two people on the first day on 12 September 2019. We spoke with the registered manager, two staff and both people. We reviewed a range of records. This included two people’s care records and medication records and a variety of records relating to the management of the service.
After the inspection
The registered manager sent us further evidence on 20 September 2019 to support their overall rating.
Updated
8 October 2019
About the service
The London Care Project is a domiciliary care service which provides personal care support to people living in their own homes. 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, managing medicines and eating. At the time of our inspection there were 2 younger adults using the personal care service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People told us they felt safe. People were supported by staff who knew how to identify when people may be at risk of harm, and how to report their concerns. Staff openly discussed among themselves when things went wrong and learned lessons from these events. People were supported by consistent long standing staff who were available when needed. Peoples medicines were managed safely, and people were protected from the risks of infection.
People received care and support from care workers who were trained to meet their needs. 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. Where people required support with their health and diet, these needs were assessed, planned for and met.
People told us staff were sensitive and kind and they received a caring service. People’s rights to dignity, privacy and independence were promoted and respected. People’s choices were listened to and acted upon. People told us they felt valued and that they mattered to staff.
People’s individual needs were assessed, planned for and met. People’s decisions about how they wanted to receive their care and spend their time pursuing hobbies and interests were acted upon. People felt able to raise their complaints which would be responded to.
People and staff were positive about the management of the service which promoted an open and inclusive culture. Systems were in place to assess and monitor the quality of care people received. People’s views about the service provided were valued and used to drive improvement.
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 good (published 04 March 2017). At this inspection the rating has remained the same.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The London Care Project on our website at www.cqc.org.uk.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
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.