Wellbeing Care Solutions Ltd

Updated 26 January 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

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 houses and flats. At the time of the inspection there were 6 people using the service.

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

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be available to support the inspection. Inspection activity started on 08 December and ended on 16 December 2022.

What we did before the inspection

We reviewed information we had received about the service since it registered with CQC. We sought feedback from the local authority and professionals who work with the service.

The provider had completed a Provider Information Review 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 used all of this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service and 3 relatives about their experience of the care provided to their family members?. We spoke with 5 members of staff including the registered manager, the nominated individual and 3 care assistants. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

This performance review and assessment was carried out without a visit to the location's office. We used technology such as video calls to enable us to engage with the registered manager and provider and made telephone calls to people using the service and staff. We used electronic file sharing to enable us to review documentation.

We reviewed a range of records. This included 2 people’s care records and medication records for 3 people. We looked at 2 staff members files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 26 January 2023

About the service

Wellbeing Care Solutions Ltd is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 6 people with personal care at the time of our inspection.

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

Staff supported people to mitigate risks to their safety. Staff adhered to infection control procedures and protected people from the risk of infection. Staff were knowledgeable in safeguarding adults' procedures.

There were sufficient staff to meet people's needs and safe recruitment practices were in place. Staff received training to ensure they had the knowledge and skills to undertake their duties. This included training on medicines management, food hygiene and the Mental Capacity Act 2005 (MCA).

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. People and their relatives Staff supported people at the end of their lives in line with their wishes.

People and relatives found staff to be caring, respectful and said they were involved in their care with staff following their wishes about how they wanted to be supported.

There were processes in place to review the quality of care delivery and make improvements where

necessary. However, we found further improvements in the providers systems were required to ensure staff received specialist training in a timely way and to ensure records were in place to show reviews of care involving people and that call durations were monitored.

People, relatives and staff all felt the service was well managed and there was evidence the provider worked well with other agencies in their support of peoples care and wellbeing.

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 requires improvement, (published on 25 March 2020).

Why we inspected

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

Follow up

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