14 June 2023
During an inspection looking at part of the service
Liberty Carers Limited is domiciliary care service providing personal care to adults and children. They previously operated under the name Caremark (Redbridge & Waltham Forest). At the time of this inspection 68 people were receiving a 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
People were safeguarded from the risk of harm or abuse. Staff were recruited safely and there were enough staff on duty to meet people’s needs. People had risk assessments to reduce the risk of harm they may face. People were protected from the risks associated from the spread of infection. Medicines were managed safely. The provider had a system in place to learn lessons from accidents and incidents.
Staff were supported with training opportunities, supervision and appraisal. People had their care needs assessed before beginning to use the service. Staff supported people with their healthcare needs when appropriate. People were supported with their nutrition and hydration. Staff asked for consent before delivering care. 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.
People’s protected characteristics were met. Staff were knowledgeable about the people they supported and their care needs. People and relatives were involved in deciding how they wanted their care. Staff promoted people’s privacy, dignity and independence.
Care records were detailed, personalised and outcome based. People’s communication needs were met. Staff supported people with activities where this was part of their care plan. People knew how to complain and felt their concerns would be dealt with appropriately.
People, relatives and staff spoke positively about the leadership in the service. The provider had regular meetings with staff so they could be updated about the service. People and staff were given feedback surveys so they could give their views about the service. The provider worked jointly with healthcare professionals and carried out quality checks to improve outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service under when they were registered as Caremark (Redbridge & Waltham Forest) was requires improvement (published 8 September 2022). This provider changed their registered address soon after the last inspection. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended the provider review risk assessments to ensure they contained enough detail. At this inspection, we found the provider had acted on our recommendation and risk assessments were now more detailed.
Why we inspected
This inspection was prompted by a review of the information we held about this service. The provider had relocated and changed their legal entity.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.