This inspection site visit took place on 7 November 2018 and was announced. We gave the registered manager seven days’ notice of our visit, so they could make sure they would be available to speak with us.Elite Assistance Limited is a domiciliary care agency. It provides personal care to everyone living in their own homes. It operates across Solihull, in the West Midlands. There were 75 people using the service at the time of this inspection and 60 people were in receipt of the regulated activity personal care.
A requirement of the provider's registration is that they have a registered manager. There was an experienced registered manager in post at the time of our inspection who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received safe care. Staff had completed safeguarding adults training and they knew how to manage risks associated with people’s care. Risk management plans provided staff with the information they needed to keep people as safe as possible.
Staff were recruited safely, and enough staff were employed to meet people's needs. People's care and support was provided by consistent workers at the times people expected for the correct length of time.
New staff received an induction when they started work at the service. A programme of regular training supported staff to keep their skills and knowledge up to date.
People received their medicines when they needed them from competent staff. The service worked in partnership with health and social care professionals to support people to maintain their well-being and health.
Staff knew what action to take in the event of an emergency and a system to record any accidents and incidents that occurred was in place.
Staff understood their responsibilities in relation to infection control which protected people from the risk of infection.
The provider was working within the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
People received their care in line with their wishes and were complimentary about the level of care shown by staff. People were supported to be independent. Staff maintained people’s dignity and respected their right to privacy.
People’s care plans contained up to date information and showed the inclusion of people and their families.
People received information about the service in a way they could understand, and a system was in place to manage complaints about the service provided.
People spoke positively about the leadership of the service. Staff enjoyed working as Elite Assistance Limited and they felt supported by their managers. The management team recognised the contribution and hard work of staff members.
Systems to monitor, assess and improve the quality and safety of the service were effective.
The service welcomed feedback from people and their families to drive forward improvement.
The registered manager understood their responsibilities and the requirements of their registration.