All For You Home Care Limited

Updated 30 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection Team:

One inspector carried out this inspection.

Service and service type:

All For You Home Care Limited provides a domiciliary care service to people in their own homes. CQC only regulates the personal care provided.

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. The registered manager was also the owner of the service.

Notice of inspection:

The inspection was announced. The registered manager, who was also the provider, was given 48 hours' notice because they provide care and support to people in their own homes. We needed to be sure that someone would be available at the office to speak with us.

What we did:

We reviewed information we had received about the service since the last inspection. This can include details about incidents the provider must notify us about, such as potential abuse, information from the public such as share your experience forms, whistle blowing concerns and information shared with us by local commissioners (who commission services of care). Providers are required to complete a Provider Information Return. A PIR is information providers send us to give us key information about the service, what it does well and improvements they plan to make. Due to technical reasons, we were unable to review this information prior to our visit, however we gave the provider an opportunity to share with us what they had put in place since registration, and key achievements. We took this into account in making our judgements in this report.

Inspection site visit activity started on 03 May 2019 and was concluded on 15 May 2019. On 3 May 2019 we visited the office location to speak with the registered manager and business administrator to review care records, policies and procedures and how they supported people who used the service. On 15 May 2019 we spoke with one person and a relative of those who received support with personal care. We spoke with one care staff member who along with the registered manager and a business administrator, provided that support.

During our inspection office visit we reviewed a range of records including staff recruitment files, two people's care records, and records relating to the management of the service. These included systems for managing additional recruitment of staff, staff practice, complaints, call schedules and the provider’s checks on the quality of care provided that assured them they delivered the best service they could.

Following our inspection office visit we contacted one person, one relative and another care staff member by telephone to get their experiences of what the service was like from their perspective.

Updated 30 May 2019

About the service: All For You Home Care is registered to provide personal care to people living in their own homes, including older people and people living with dementia. At the time of our inspection visit, the service supported two people.

People’s experience of using this service:

Calls were made by consistent staff, at the times arranged and those staff stayed for the right amount of time to provide the support they required.

Staff knew people well, especially their individual routines and preferences.

Staff were knowledgeable about the risks associated with people's care and people’s individual risk management plans provided staff with the information needed to manage those risks safely.

Recruitment processes were thorough to ensure staff were recruited safely. There were enough staff to provide the care and support people needed.

Both people receiving support were able to self-medicate so were not supported by staff, however staff were trained to administer medicines and regular checks and processes were in place to ensure when needed, they would be given safely.

People and their relatives made decisions about their care and were supported by staff who understood the principles of the Mental Capacity Act 2005. Where family members had authority to act on their behalf, records supported this. Staff understood the importance of seeking consent to support and staff provide people with choice where possible, and respected people’s decisions.

Staff were caring and respected their right to privacy and dignified care. Staff protected people’s privacy and dignity and continually involved people to make sure they felt comfortable, or if they wanted to do things for themselves.

Care plans were personalised and provided staff with the information needed for each care call. Records showed additional information and guidance was provided, such as how to use certain equipment or to inform staff about different health conditions. Where needs changed, staff said communication was effective, so they knew what was required to provide effective and safe care.

Staff knew how to keep people protected from poor practice or abuse. The registered manager was confident as they increased their number of care packages, this could be maintained.

The provider’s governance systems were operated and managed effectively to ensure people received good outcomes that continued to meet their needs. The quality assurance systems were reviewed and robust enough to ensure good outcomes continued to be provided as the service grew.

The provider utilised electronic call monitoring and call scheduling to ensure care calls were completed on time. They were confident as care calls increased, this system would provide tight controls over care calls to ensure they continued to be when people required them. Records showed care calls were made when people wanted them.

The registered manager adopted effective security measures so people’s personal and important information remained as secure and confidential as possible.

Although this was the first inspection since their registration with us and they only supported two people, we found the service met the characteristics of a “Good” rating in five areas.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: This is the first rating inspection since the provider registered with us on 26 April 2018.

Why we inspected: This was a planned and announced inspection based on date the provider registered with us. We aim to inspect newly registered services within 12 months of registration.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.