Background to this inspection
Updated
3 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 undertaken 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 person is also the provider for Anglian Care and Domestic Support Services Limited. 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
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 27 August 2019 and ended on 20 September 2019. We visited the office location on 16 September 2019.
What we did before the inspection
The provider was asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff, this included the registered manager and the care manager. We spoke with one health care professional.
We reviewed a range of records. This included two people’s care records and medication records. We looked at three staff files in relation to recruitment and a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
3 October 2019
About the service
Anglian Care and Domestic Support Services Limited, provides personal and domestic care and support in people’s own homes. At the time of the inspection 52 people were using the service.
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. At the time of our inspection 45 people were receiving a regulated activity.
People’s experience of using this service and what we found
The provider had improved their governance systems since the previous inspection in August 2018. The management team completed regular checks and monitoring of the service. People’s risks to their health and welfare were re-assessed when their needs had changed, care plans were reviewed and revised appropriately to ensure improvements were sustained.
People received safe and effective support from staff who received appropriate training and support. The provider had a robust recruitment process and staff received training in how to recognise and report abuse.
People told us they received good support and care in areas such as health needs, medicines management and meals.
People were supported by staff to take their medicines safely where required. Staff promoted people’s choice and independence. People were involved with decision about their care and support.
People and relatives were happy with the care provided by Anglian Care staff. People told us the care staff were kind, caring and compassionate. People’s care was tailored around their identified needs. This was reviewed and updated when required. People had the opportunity to express their views and had developed caring relationships with staff.
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. (last report published August 2018)
The provider completed an action plan after the last 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.
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.