Background to this inspection
Updated
8 July 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 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 and specialist housing.
The service employed a manager who was also the registered provider and who was registered with the Care Quality Commission. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced.
What we did before inspection
We reviewed information we had received about 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 two relatives about their experience of the care provided. We spoke with four members of staff including the provider and care workers.
We reviewed a range of records. This included two people’s care records and medication records. We looked at four 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 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
8 July 2021
About the service
Marrissa Care Ltd is a domiciliary care service that provides personal care and support for two people in their own homes. They also support people who are at the end of their lives on a short-term basis. The service can provide care for adults of all ages and covered Lincoln and surrounding areas.
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
The provider was exceptionally kind and caring and often went far beyond expectations to promote people's health and wellbeing. Staff were fully committed to promote people's dignity, privacy and independence using innovative and creative ways to overcome obstacles and achieve positive outcomes for people.
The provider had a promoted a positive person-centred culture, with a high visible presence within the service. Encouraging staff and people to express their views to improve the quality of the service. Then using this feedback to drive improvement.
The provider and staff demonstrated compassion and empathy for people to ensure a comfortable and dignified death. Staff also supported families during end of life care with respect and understanding.
Staff understood people's individual care needs and preferences and used this knowledge to provide them with person centred, responsive support. Staffing resources were managed effectively to meet people's needs.
Training and supervision systems provided staff with the knowledge and skills they required to meet people's needs. Staff worked together with families in a supportive way and communicated effectively within the service and with a range of external organisations.
Staff had received safeguarding training and were able to demonstrate their understanding and responsibilities to reduce the risk of harm to people.
There were comprehensive recruitment processes in place to make sure experienced staff were employed to support people effectively in their own homes.
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 25 July 2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.