We carried out a review of the data available to us about Karosel Care and Domestic Services Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Karosel Care and Domestic Services Ltd, you can give feedback on this service.
Karosel Care is a domiciliary care agency which provides support for adults in the community, including those living with dementia, who require assistance with personal care. At the time of the inspection, nine people used the service supported by six care staff and a registered manager.
People’s experience of using this service and what we found
Systems were not in place to analyse accidents and incidents. This meant that processes to learn from themes and trends and to mitigate further risk were not robustly implemented. This was an area that required improvement. Staff were receiving support from the manager and received training appropriate to the care and support they were providing. The provider was not following their own policy for staff supervision and appraisal this was an area for improvement. . We did not identify any negative impact for people from this lack of governance. The service was led by a registered manager who everyone described as approachable and exceptionally caring. The culture of the service was open and inclusive.
People were happy with the care they received and felt safe with the staff that were supporting them. The service was safe. Systems were in place to protect people from the risk of abuse and improper treatment and staff knew how to identify potential harm and report concerns. People received their medicines safely from staff who were trained to administer these. Checks were carried out prior to staff starting work to ensure their suitability to work with people who used the service.
People were cared for by staff who were well supported and had the right skills and knowledge to meet their needs effectively. Care records included assessment of risk and staff knew how to reduce the risk of potential harm. People received support from a consistent team who knew them well. There were sufficient numbers of staff to ensure people did not feel rushed and people received their support on time.
People were supported to have maximum control over 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.
Positive and caring relationships had been developed between staff and people who used the service. People were treated with kindness and compassion and staff were friendly and respectful. People benefitted from having support from staff who had a good understanding of their individual needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 2 August 2018 and this is the first inspection since registration. We found evidence that the provider needs to make improvements. Please see the well led section of this full report. We found no evidence during this inspection that people were at risk of harm from this concern.
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.