All About U Care Services Ltd

Updated 6 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

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 houses and flats.

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 not a registered manager in post. The previous manager had de-registered on 08 June 2021. The nominated individual, who was also the provider was applying to become registered manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 24 April 2023 and ended on 5 May 2023. We visited the location’s office on 5 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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.

The inspection

We spoke with the provider and the senior care coordinator. We had contact with a second member of care staff. We reviewed a range of records. This included 1 person’s care records and 2 staff files. We looked at a sample of the service’s quality assurance systems. We spoke on the phone to a relative.

We requested a range of information from the provider. We had feedback from 1 professional about the service.

Updated 6 July 2023

All About U Care Services Limited is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there was 1 person using the service.

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

The service had been supporting the same person for many years. Care was person-centred and safe. However, there had not been a registered manager in place since 2021. This reflected the registered provider’s lack of understanding of their regulatory responsibilities. The registered provider was in the process of applying to become registered manager.

Since our last inspection, new quality checks had been put in place. They were practical and supported safe care. However, quality checks and training programmes remained limited to the needs of the person being supported.

There was room to improve written risk assessments and care planning. However, we found minimal impact as the person received support from a small staff team who knew their needs well.

Communication across the service was effective and open, with good involvement with the person’s relative and external professionals.

There were enough staff to meet the person’s needs. Staff knew how to support the person from the risk of abuse. The registered manager and staff supported the person and their family to manage risk. The person received their medicines as prescribed. Staff supported the person to minimise the risk of infection.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

The person was supported by staff to have a fulfilling and meaningful everyday life.

Right Care:

Staff members knew the person well and communicated with them in a kind and compassionate manner.

Right Culture:

The whole service focused on the wellbeing of the person being supported.

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

Rating at last inspection

The last rating for this service was requires improvement (published 14 July 2021). The registered manager 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 regulation.

Why we inspected

We undertook a focused inspection to review the key questions of safe and well-led only. We reviewed whether improvements had been made since our last inspection.

For those key questions not inspected, we used the ratings awarded at previous inspections to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Recommendations

We made recommendations around improved checks, training, care plans and risk assessments.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.