Options Care Limited

Updated 11 May 2023

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

This inspection was completed by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

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

This inspection was announced. We gave the service 48 hours' notice of the inspection. This was because we needed to be sure the registered manager would be available to support the inspection. We also needed to obtain the consent from people using the service to be contacted by us to obtain feedback on their experience of using the service.

The inspection activity started on 21 March 2023 by visiting the provider's office to meet with the registered manager and the director. We then contacted people using the service and staff. Inspection activity ended on 27 March 2023.

What we did before the inspection

We reviewed the information we had received about the service since they registered with us, including any statutory notifications received. The provider completed a 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. We used al of this information to plan our inspection

During the inspection

We received feedback from 3 people using the service and/or their relatives about their experiences of the care provided. We spoke with the registered manager, a director and 3 care workers. We reviewed a range of records including care and staff records and records relating to the management of the service. After the inspection we continued to seek clarification from the provider to validate evidence found.

Updated 11 May 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Options Care Limited is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection 3 people were receiving personal care, most of whom were adults who required support for much of the day due to a learning disability or physical disability to remain as independent as possible. Not everyone who used the service received personal care and not everybody had a learning disability. 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.

People’s experience of using this service and what we found

Right Support: Model of Care and setting that maximises people’s choice, control and independence

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.

Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights

People received the right support in relation to risks, such as those relating to a learning disability, health conditions or mobility. There were enough staff to support people safely and staff knew people well having worked with them consistently, for a long time. The provider checked staff were suitable to work with people through recruitment checks. Staff received training in infection control practices, including the safe use of personal protective equipment (PPE). People received the right support in relation to their medicines and the provider had good oversight of this through electronic systems and audits.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

The registered manager and staff understood their role and responsibilities. The registered manager engaged and consulted well with people using the service, relatives and staff. Staff were well supported by the registered manager. The registered manager understood their responsibility to notify CQC of significant events as required by law.

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 the service was good, report published October 2018.

Why we inspected

This inspection was prompted because of the length of time since our last inspection.

Follow up

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