Caredom Healthcare

Updated 19 January 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was completed by 1 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. This service also provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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.

Inspection activity started on 5 January 2023 and ended on 10 January 2023. We visited the location’s office on 5 January 2023.

What we did before the inspection

We reviewed information we had received about the service since they registered. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service and gained feedback from 2 relatives about their experience of the care provided. We spoke with 4 members of staff including the registered manager, a director and care workers.

We reviewed a range of records. This included 2 people’s care records. We looked at 2 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.

Updated 19 January 2023

About the service

Caredom Healthcare is a domiciliary care agency. They provide personal care to people living in their own homes. 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 2 people were receiving personal care.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

People’s experience of using this service and what we found

Right Support:

The provider needed to make improvements to ensure consent was appropriate. We found some records for consent had been signed by a person who did not have the legal authority to do so. However, 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 knew which staff were supporting them for each call. Staff arrived on time and were flexible in the call times if required.

Staff were recruited safely and received adequate training to meet people’s needs. Staff knew people well and people and relatives felt staff had a good relationship with them.

People were supported to access any equipment needed to support independence or safety.

The registered manager completed a pre-assessment before people were offered a service to ensure staff had the skills and knowledge to meet people’s needs.

Right Care:

People were protected from abuse and known risks. Risk assessments were in place with mitigating strategies and staff had training and understood safeguarding procedures.

People’s healthcare needs were supported. However, people did not have health passports within their homes to give health and social care professionals the information required to support them in the way they needed. Staff shared information to ensure people’s health needs were met as appropriate.

Care plans were person centred and detailed with people’s needs, wishes and preferences. People and relatives were positive about the support they received from Caredom Healthcare. Staff were described as, “kind”, “friendly”, “brilliant” and, “flexible” in their approach. .

Right Culture:

Staff felt supported within their roles and were able to raise any concerns or issues they had. Staff told us the registered manager was always available to them if needed.

The registered manager was dedicated to working with others and improving care. Improvements to the service were identified through feedback from staff, people and relatives. The registered manager was open to the feedback from inspection and implemented changes immediately.

Systems and processes were in place to audit documents and identify any improvements required. Information was shared appropriately. Staff had information shared with them through a variety of meetings, relatives were kept up to date on their loved one as required.

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 28 January 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.