Background to this inspection
Updated
25 February 2020
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 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.
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.
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.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the 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. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three members of staff including the registered manager and two care workers.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with one person who used the service and their relative about their experience of the care provided. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
25 February 2020
About the service
Perfect Community Care is a domiciliary care agency providing personal care to one adult at the time of the inspection.
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
People told us they were kept safe by the staff. People were safeguarded from the risk of abuse and staff knew how to blow the whistle if they observed poor practice.
Risk assessments were in place to protect people from known risks and management and staff took steps to always ensure people’s risk was minimised. Staff were recruited to the service safely and appropriate checks performed on prospective staff.
The service did not support anyone with medicines at the time of the inspection. However, people were reminded to take their medicines and the service observed this had been done as an extra safety measure.
People were involved in the initial assessment of needs to ensure the service could fully support them. The registered manager and staff had completed appropriate training. Consent to care and treatment was sought before care began.
People were encouraged to make their own choices in relation to aspects of their care. 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 received support with light meal preparation. People were encouraged to be independent as much as possible. Staff were kind and respectful of people’s diversity.
Care plans were personalised, contained likes and dislikes and people’s communication needs. People and staff gave positive feedback on the management of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection - Inspected but not rated 15 June 2019.
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.