Makai Care Limited

Updated 24 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 25 October 2018 and was announced. The provider was given notice because the location provides a domiciliary care service and we needed to be sure that senior staff would be available in the office to assist with the inspection.

The inspection was carried out by one inspector.

Before the inspection, we reviewed the information we held about the service. No notifications had been received from the service. A notification is information about important events which the service is required to tell us about by law. We read previous inspection reports and we requested feedback from the local authority. They had not conducted a visit since the last inspection and there were no safeguarding issues. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR prior to our inspection.

During the inspection we spoke with three people and one relative on the telephone and received written feedback from a further three relatives of people who use the service. We received written feedback from two professionals who had dealings with the service and spoke directly with a further two. We spoke with one member of staff and the registered manager and received written feedback from a further three staff members. We looked at records relating to the management of the service. These included three people’s care plans and associated risk assessments, and recruitment records for the two staff most recently recruited. We also reviewed training records, policies, the complaints and compliments log and the accident/incident log.

Updated 24 November 2018

This inspection took place on 25 October 2018. This was an announced inspection as Makai Care Limited is a small domiciliary care service and we needed to be sure someone would be available at the office. At the last inspection on 4 March 2016 the service was rated Good in all domains. At this inspection we found the service remained Good in all domains. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older and younger adults. Not everyone using Makai Care Ltd receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of the inspection a registered manager was in post. 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.

Recruitment procedures were robust and effective and helped to ensure people were provided with care by suitable staff. Staff received training to ensure they had the skills to care for people safely and effectively. People received their medicines when they required them and there was a system to manage medicines safely.

People and their relatives were happy with the service they received from Makai Care Limited. They told us they felt safe using the service. Any risks to people and staff were assessed and monitored. Staff were knowledgeable and showed awareness of how to keep people safe. They understood the policies and procedures used to safeguard people.

People’s rights in relation to making decisions was protected. People and where appropriate their relatives and other professionals had been involved in making decisions about their care. Staff understood their responsibilities in relation to gaining consent before providing support and care.

People were treated with kindness, dignity and respect and they were supported to remain as independent as they wished.

Staff were kept up to date with information concerning people or changes to their care. Staff contacted healthcare professionals to seek advice when concerns were identified regarding a person’s well-being. People were supported to have enough to eat and drink when this was part of their identified care needs.

There was an open and inclusive culture in the service. Staff felt comfortable to approach the registered manager for advice and guidance. Staff were well supported through regular meetings with their manager and training. They said they were listened to and were confident action would be taken promptly to manage any concerns raised.

The registered manager kept records relating to the management of the service which were comprehensive and appropriate.

Regular feedback was obtained from people using the service. The registered manager monitored the service through a system of audits and used these to improve the quality and safety of the service. A complaints policy was available and people were aware of it. No complaints had been received in the last year.

Further information is in the detailed findings below.