ADEXCARE LTD

Updated 1 October 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

This service is a domiciliary care agency. It provides a service to older adults and younger disabled adults. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks relating to personal hygiene and eating. Where they provide wider social care we also took this into account.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 12 September 2019 and ended on 12 September 2019.

What we did before the inspection

Our planning took into account information the provider sent us since the last inspection. We also considered information about incidents the provider must notify us about, such as abuse; and we looked at issues raised in complaints and how the service responded to them. We assessed the PIR. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We contacted and received feedback from the local authority. We used all this information to plan our inspection.

During the inspection, we spoke with eight people using the service or their family members about their experience of care on the telephone. We also spoke with the registered manager, the office manager, the coordinator, the training manager and four members of staff.

We looked at four people’s care records and a selection of other records including quality monitoring records, recruitment and training records for three staff.

Updated 1 October 2019

Adex Care Limited is a domically care agency registered to provide personal care to people living in their own home. At the time of the inspection 84 people were being supported.

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.

At the last inspection we found that safe recruitment practices were not always being followed. This had improved on this inspection.

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; however, this was not always evident in care plans. We have made a recommendation regarding this as some information was confusing in parts. People were supported to eat, and drink where needed, and staff were trained, supervised and appraised in line with the policy of the organisation.

Everyone we spoke with told us they felt safe receiving care from Adex. There were comprehensive risk assessments in place which were tailored to reflect each person’s assessed need. People confirmed they received their medications and calls on time. Staff knew how to report safeguarding concerns and staff were recruited safely.

Staff treated people with kindness and dignity, and people confirmed they were involved in choices and decisions regarding their care and support. People’s diverse needs were catered for.

Care plans were person centred and reflect the needs of each person. Routines were discussed with people, and they had been involved in completing their care plans. Relatives confirmed communication from staff was good, and staff supported people to make healthcare appointments were needed. Complaints were investigated and responded too, and staff were trained in end of life care.

There was one statutory notification the registered manager had not made us aware of, which was an oversight on their behalf. There were audits and quality checks in place, complete with action plans.

Rating at last inspection- rated good (3 March 2017)

This was a planned inspection based on the previous rating

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.