Charismatic Care Ltd

Updated 29 December 2022

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

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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 the registered manager would be in the office to support the inspection.

Inspection activity started on 30 November 2022 and ended on 15 December 2022. We visited the location’s office on 5 December 2022.

What we did before the inspection

We reviewed information we held and had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity which took place on 26 September 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 1 relative, 1 staff member and the registered manager, who was also the director of the service. We had email information from 3 staff, 1 relative and 1 professional. We reviewed a range of records. This included 1 person’s care plan, policy and procedures and training undertaken by the staff and the registered manager. We also looked at the processes they had in place for overseeing and monitoring the quality of the service.

Following the inspection visit, we continued to seek further clarification from the registered manager to validate evidence found and this was provided.

Updated 29 December 2022

About the service

Charismatic Care Ltd is a domiciliary care agency providing personal care to people in their own homes. The service is set up to provide support to young adults under 65, older people and those living with dementia, people with a physical or learning disability and autistic people, those with mental ill health, misuse of drugs and alcohol and people with eating disorders. At the time of our inspection there was 1 person using the service.

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.

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

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

People were enabled to have a good outcomes and a good quality of life with the support they received. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to take part in activities and pursue their interests.

Staff supported people to have the maximum possible choice, control and independence. Staff supported people to make decisions, in line with best practice guidance. Staff gave people time to communicate their views, using their preferred communication method.

The service supported people in a holistic manner which promoted their wellbeing. Staff enabled people to access health and social care support when needed and liaised with professionals for the benefit of people they supported.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care

People received kind and compassionate care. Staff treated people with respect and dignity. They knew people well and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to keep people safe. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

People who had individual ways of communicating, such as body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care. Staff had the necessary skills to understand them.

People’s care and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People’s risk assessments were completely fully to understand the risks and how to mitigate them.

Right culture

People led inclusive and empowered lives because of the ethos, values and attitudes of the management and staff. The whole service placed people’s wishes, needs and rights at the heart of everything they did.

People were supported by staff who were trained and understood best practice in relation to people’s strengths, impairments or sensitivities and working with people with a learning disability and autistic people. This meant people received care that was tailored to their needs.

People and those important to them were involved in planning their care.

The registered manager evaluated the quality of support provided to people, involving the person, their representatives and professionals as appropriate. They had regular contact with staff and people/relatives using the service, which minimised the risk of closed cultures developing.

People’s quality of life was enhanced by the service’s values and culture and the desire to improve people’s lives.

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

Why we inspected

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

Rating at last inspection

This service was registered with us on 2 November 2021 and this is the first 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.