Home Healthcare/Capable Care

Updated 19 July 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

A single inspector carried out this inspection.

Service and service type

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

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.

What we did before inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals 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 2 people using the service and 3 relatives about their experience of the care provided. We spoke with 3 care staff and the registered manager. We reviewed a range of records. This included 3 people using the service’s care records and medicines records. We looked at 3 staff files in relation to recruitment and a variety of records relating to the management of the service, including the quality monitoring systems and audits.

Updated 19 July 2023

Home Healthcare/Capable Care is a domiciliary care agency. It provides care and support for 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. They were providing personal care to 6 people at the time of the inspection.

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

There was safeguarding procedures in place and the registered manager and staff had a clear understanding of these procedures. Risks to people were assessed and staff were aware of the action to take to minimise risks where they were identified. The service had procedures in place to reduce the risk of infections. People received support from staff to take their medicines safely. Appropriate recruitment checks had taken place before staff started work at the service. There were effective systems in place for monitoring, investigating, and learning from incidents and accidents.

People’s care needs were assessed when they started using the service and care plans were in place to ensure staff could support them safely. Staff received training and support relevant to people’s needs. Where required, people received support from staff to maintain a balanced diet. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People using the service told us staff were kind and caring and they were always consulted about their care and support needs. They knew how to make a complaint if they were unhappy with the service. People had access to end-of-life care and support if it was required.

There were effective systems in place to monitor the quality of service that people received. Staff said they received good support from the registered manager. The registered manager took people and their relatives views into account through satisfaction surveys and feedback from these was used to improve the service. The registered manager and staff worked with health and social care providers to plan and deliver an effective service.

Rating at last inspection.

This service was registered with us on 28 January 2022, and this is the first inspection. The last rating for the service under the previous provider was Good, published on 18 May 2018.

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