Kare Plus Preston

Kare Plus Preston provides home care services enabling people to be cared for while living in their own homes. The service is managed from the registered office in Preston. At the time of this inspection 22 people were receiving regulated personal care and support from the service. 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

Systems were in place to record accidents and incidents. However, these were not consistently monitored to identify any potential lessons to be learned, themes or trends. We have made a recommendation that recording systems are consistently monitored to ensure any risks, themes or trends have been recognised and any actions taken recorded.

Risks relating to people's needs had been identified and records provided a detailed plan for managing those risks. Medicines were being administered and managed safely. There were enough numbers of staff on the rota to support the number of people using the service

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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Training records demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services where necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to. End of life care where relevant was done with the community nurses.

Quality monitoring and auditing systems were not all fully established. There was some regular oversight of the safety and quality of the service however this was not always being formally recorded. There was no recorded analysis or reviews completed in a format to see where improvements to the service could be made. We have made a recommendation that the provider develops and establishes the systems and processes to oversee the quality and safety of the service.

Electronic care planning and rota systems were used. People and their relevant others could access the electronic systems remotely to view information about their visits and care. People said very positive things about the management and staff and described the service as ‘excellent’.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 7 June 2021 and this is the first inspection at this address. The last rating for the service at the previous premises was good, published on 31 August 2018.

Why we inspected

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

Recommendations

We have made recommendations the provider develops and establishes the systems and processes to oversee the quality and safety of the service. Additionally those systems are consistently monitored to ensure any risks, themes or trends have been recognised and any actions taken recorded

The manager responded immediately during and after the inspection to address the completion of records and improve information in order to mitigate any potential risks.

Follow up

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