19 April 2021
During a routine inspection
Get Care is a service registered to provide personal care to people living in their own homes.
The service supports a range of people including people living with mental health needs and physical disabilities living in and around the Northamptonshire and Oxfordshire area. On the day of our inspection they were supporting three people with the regulated activity of personal care.
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.
People’s experience of using this service and what we found
The registered manager (who was also the provider) had developed some quality assurance systems, however further improvement was needed. Audits did not always demonstrate action taken where shortfalls had been identified. Detailed guidance was not in place to show how risks had been assessed and reviewed to mitigate those risks. Some information in policies and procedures was either inaccurate or missing, giving staff and those reading these documents incorrect information.
Feedback from people and social care professionals indicated the provider worked well with all concerned. However, there was no written evidence of the communication the registered manager had with others to ensure there was an audit trail. The care people received was good and the registered manager was receptive to the inspection, however there was a lack of insight into what would be expected of them during the inspection process. For example, producing records and policies requested of them in a timely way.
Although we found some shortfalls, people and their relatives were complimentary about the registered manager and the staff member who supported them. They confirmed communication was good and they received consistent caring support. Professionals also provided positive feedback about the service and they were happy with the care people received.
The registered manager worked directly with people using the service developing relationships and reviewing the care people received. 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.
There were procedures in place that guided staff on how to escalate any safeguarding concerns. People and their relatives had not been given the complaints policy and procedure until the inspection process started. However, they all told us they knew they could contact the registered manager if they had a concern.
Where people received support with taking their medicines, this had been carried out in line with good practice guidance. Staff had training and followed good practice guidance around infection control. People told us staff wore protective personal equipment.
There was one new staff member who had received an induction and was accessing training to enable them to perform well in their roles. People were encouraged to meet their nutritional and health care needs. The provider worked with external professionals to ensure, when needed, people had access to health and social care services.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 November 2017 and this is the first inspection.
Why we inspected
This was a planned inspection as the service started supporting people with personal care in January 2021.
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.