The comprehensive inspection took place on 29 September 2016 and was announced. We gave the provider 48 hours’ notice of the inspection in accordance with our current methodology for inspecting domiciliary care services.United Care Concepts (UCC) is a domiciliary care agency that provides personal care and support to people in their own homes. They support adults and children of all ages with a variety of disabilities and health conditions. At the time of our inspection UCC was providing a service to 16 people, eight of these were receiving support with their personal care needs. The Care Quality Commission has responsibility for regulating personal care and this was the area of the service we looked at. The number of hours of support people received varied from four hours a fortnight up to 24 hours per day.
There was a registered manager in post who was responsible for the day to day running of the service. 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.
Relatives told us they were happy with the support their family members received and were confident they were safe. Staff had received training in safeguarding adults and children and were confident of the action to take if they had any concerns.
Staff knew the people they supported well and had a good understanding of their needs. Efforts were made, when recruiting staff, to help ensure staff were able to build meaningful relationships with people. Recruitment practices were robust and people were involved in the process in a meaningful way. The induction process covered all relevant training and this was refreshed and updated regularly.
Staff were positive when talking about the people they supported and spoke of them with affection and respect. This was reflected in the written documentation which emphasised people’s abilities and positive characteristics. The registered manager spoke about the importance of developing trusting relationships with people and their families.
The registered manager had a clear understanding of the Mental Capacity Act 2005 (MCA) and the principles underpinning the legislation. We identified a common theme when talking with the registered manager, which highlighted the need to work with people according to their preferences and with their full agreement and consent.
Care plans were well laid out and organised. They had been developed to reflect people’s individual needs and ensure they were relevant to the person. Paper copies of these were kept at people’s homes as working files which staff could refer to at any time. Staff told us the care plans were useful and relevant.
There was a management structure in place which provided clear lines of responsibility and accountability. All members of the management team had clearly defined roles which staff understood well.
The registered manager and directors monitored the quality of the service by undertaking a range of quality audits and speaking to people and their families, to help ensure they were happy with the service they received. Communication was highlighted as an important aspect of the service provided. There was a flexible approach to developing care packages which emphasised the importance of ensuring people’s individual needs and preferences were recognised and met.