Background to this inspection
Updated
23 November 2021
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 team consisted of 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. We sought feedback from the local authority. 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 inspection. We used all of this information to plan our inspection.
During the inspection
We spoke with the nominated individual and the registered manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included one person’s care records and medication records. We looked at three 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 relative to hear their feedback about the care provided. We sought feedback from three care staff. We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and policies. We sought feedback from three professionals who have been engaged with the service.
Updated
23 November 2021
About the service
Knightsbridge Care Limited is a small domiciliary care agency providing care to people in their own homes. The service is registered to provide care to people living with dementia, mental health conditions and physical disabilities. 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. At the time of the inspection, the service was providing personal care to one person.
People’s experience of using this service and what we found
Relatives told us they felt their loved one was safe with staff. People had not experienced missed visits. Risks associated to people’s care were assessed and managed appropriately including in relation to the management of medicines.
Staff told us they had sufficient time to travel in between visits and they felt they could discuss with the management of the service if they needed further time. Staff had received relevant training in relation to their role and told us they were offered opportunities for further training and progression.
We observed there were adequate supplies of personal protective equipment (PPE) available for staff in the office. Relatives told us they felt staff followed good infection prevention and control practices. Staff told us there were systems in place to ensure they always had enough PPE.
We were told staff were kind, caring and respectful towards people using the service. Staff encouraged people to be as independent as possible. People’s care plans provided staff with detailed information on how to support them effectively.
There were systems in place to monitor the quality of care provided. Relatives and staff told us they knew how to complain and told us they felt confident the registered manager and provider would listen to their concerns and address these appropriately.
Relatives and staff told us they felt the leadership of the service was effective and encouraged people to be engaged in the service and involved in 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.
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 16 June 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by our data insight that assesses potential risks at services, concerns in relation to aspects of care provision and as the service had not been inspected since registering with CQC. As a result, we undertook a comprehensive inspection of all five key areas.