Caires Care

Updated 9 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Our comprehensive inspection was announced. We gave the provider 48 hours notice of our inspection as we needed to be sure someone would be in the office to speak with us. Inspection activity began on 4 July 2018 when we called people who used the service and staff by telephone. We attended the office on 5 July 2018. The inspection was carried out by one inspector and an assistant inspector.

Before the inspection we reviewed the information we held about the service, including past inspection reports and notifications about incidents which the provider is required to send us. We also contacted other bodies such as the local authority, safeguarding teams and Police to ask if they held any information about the service. We did not receive any information of concern.

We did not send a provider information return (PIR) before this inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with one person, the relatives of three people by telephone, and one member of staff. We also spoke to a professional who advocated for someone who used the service. We visited the office and spoke with the registered manager. We looked at two people’s care records including medicines administration records and daily notes, two recruitment files and other documentation relating to the running of the service.

Updated 9 August 2018

Caires Care is a domiciliary care agency which provides personal care to people in their own homes. At the time of our inspection there were five people using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good

There were sufficient, safely recruited and well-trained staff to ensure people received care and support when they had requested it. Calls were planned to take into account travelling time, which was reflected in the feedback we received that calls were rarely late. People were told if care staff were going to be late.

Risks associated with care and also people’s homes were well assessed, with guidance in place to show how risks could be minimised. Systems were in place to safeguard people from abuse and medicines were well managed.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service this practice. People gave consent for care and confirmed they were offered choice.

New staff had a comprehensive induction, and we saw evidence staff had the appropriate support to remain effective in their roles. People we spoke with said they received good support at mealtimes.

Caires Care is a domiciliary care agency which provides personal care to people in their own homes. It provides a service to older people and younger adults. At the time of our inspection there were five people using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good

There were sufficient, safely recruited and well-trained staff to ensure people received care and support when they had requested it. Calls were planned to take into account travelling time, which was reflected in the feedback we received that calls were rarely late. People were told if care staff were going to be late.

Risks associated with care and also people’s homes were well assessed, with guidance in place to show how risks could be minimised. Systems were in place to safeguard people from abuse and medicines were well managed.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service this practice. People gave consent for care and confirmed they were offered choice.

New staff had a comprehensive induction, and we saw evidence staff had the appropriate support to remain effective in their roles. People we spoke with said they received good support at mealtimes.

The culture of the service was focused on people and we found it was extremely caring. People we spoke with valued the care and support they received and we saw the registered manager and staff had gone over and above to make a positive impact on people’s lives. People received additional support to avoid social isolation and in making their homes accessible which had a positive impact on their lives. There was an exceptionally caring approach to supporting people to express their sexuality safely.

People were empowered in the writing of personalised care plans, which used their own language to describe needs and preferences and demonstrated a very good level of involvement. The culture of the organisation focused on respect and empathy for people as individuals, reflected in the quality and presentation of documentation, content of and approach to training and in the personalised support people received.

Needs and preferences were assessed and documented before people began to use the service. People were involved in reviewing their care plans and told us they had not had reason to make complaints about the service.

We received positive feedback about the registered manager, and found they had a very clear vision for the kind of care they wanted to provide. People and staff were asked for their opinions of the service in order to help the registered manager ensure quality of delivery and make any improvements identified.

Further information is in the detailed findings below.