About the service Combe Domiciliary Care is a domiciliary care service delivering care and support to people in their own homes living in Millom and surrounding rural areas. At the time of the inspection the provider was supporting approximately 42 people, mainly older adults. The service delivers personal care and also cares for people who may be at the end of life. They also support some people with basic home nursing tasks that have been delegated to them by the community nurses.
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 felt safe. Staff had received suitable training about protecting vulnerable adults. New members of staff had been suitably vetted. Accidents and incidents were responded to appropriately. Team members understood people's needs and had suitable training and experience in their roles. The service employed enough staff to cover the programme of calls in all areas.
The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People told us the staff were caring and respectful and made sure confidentiality, privacy and dignity were maintained. Risk assessments and care plans provided detailed guidance for staff. People using the service, or their relatives, as appropriate, had influenced the content. The registered manager ensured the plans reflected the person-centred care that was being delivered. Staff supported people to get health care and staff managed medicines well. The service had good working relationships with health care professionals. Staff supported people to eat well and stay hydrated.
The service had a quality monitoring system and people were asked their views in a number of different ways. Quality assurance was used to support future planning.
The registered manager understood how to manage concerns or complaints appropriately. There had been no complaints.
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 07/01/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the first anniversary of registration.
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.