We carried out a review of the data available to us about Christies Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Christies Care Ltd, you can give feedback on this service.
Christies Care Ltd is a domiciliary care service providing personal live in care to 190 people in their own homes. 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:
The staff were outstandingly responsive to the needs of people at the service, by providing a wide range of person-centred support and activities in line with the individuals wishes. Support provided met people's needs so people could live as full a life as possible. There were strong community links and people accessed their community regularly supported by the staff.
The service continued to be outstandingly well-led. People told us they had trust in the managers and staff who frequently consulted with them and supported them to live their lives as they chose.
Continuous learning was embedded in the culture of the service and staff were caring and committed to providing individual person-centred care to each person. The cohesive management team continued to demonstrate outstanding, strong values with a desire to learn about and implement best practice throughout the service. The management team used effective systems to continually monitor the quality and safety of the service and take any necessary action as required. The senior staff continued to have a shared vision to care and support people to live as full a life as possible.
Since our last inspection the service had further developed the quality assurance department to carry out and implement the findings of audits and investigations. The statement of purpose shared a vision of providing person centred care. Management and staff worked together to share ideas for continual improvements in the service.
The service continued to provide highly effective support to people. Staff received an 11 day face to face taught induction in order that they understood the diagnosis and needs of the people they were to support in their own homes. Staff worked for arranged periods of a week and sometimes up to a month with the person in order to build up meaningful relationships and rapports.
People continued to receive outstanding support which was reviewed with each person to ensure they were assisted by staff to meet their needs. The care plans provided risk assessments and clear guidance on how people were to be supported. Peoples preferences were recorded in order that the staff knew how to support them. People were at the centre of their care and found that their care and support was planned with them and not for them. The care co-ordinators worked to get to know the skills, choices and interests of both the people using the service and staff. This enabled the care co-ordinators to match people together with common interests and hence increasing the likelihood they would be able to appreciate and enjoy each other’s company.
Without exception people praised the quality of the service they received from the Christie’s staff. People told us they felt safe and were supported by skilled staff who went above and beyond to ensure their needs had been met as they preferred. People praised the way staff actively looked for anything additional they could do to support them.
People using the service and their relatives were encouraged to engage in discussions about their care and support with the staff. The staff continued to proactively help people to make choices and decisions about their care and lifestyle and remain as independent as possible. Privacy and dignity was respected by staff with whom positive relationships had been formed and who promoted individuality.
The service continued to carry out assessments with people to determine that the staff could meet their individual needs. End of life care was provided as necessary from staff trained in this area and the service worked together with community-based health staff to maximise the potential for people to remain at home if they wished. People received their medicines safely and as prescribed. Appropriate arrangements were in place for obtaining, recording, administering and disposing of prescribed medicines.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.
Staff continued to be exceptionally motivated to provide effective and compassionate care. Staff received a comprehensive training package and were provided with on-going support. Appropriate recruitment procedures were in place to help ensure only suitable staff were employed.
Without exception, people we spoke with praised the exceptionally kind and caring nature of the staff. People felt valued and respected by staff who promoted their dignity and wellbeing.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection:
The last rating for this service was outstanding. (published October 2016).
Why we inspected:
We carried out this inspection based on the previous rating of the service.
Follow up:
We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.
The service provided live in support to people in their own homes. This service is provided across the United Kingdom. The needs of people using the service vary widely some requiring support with personal care and others who may be living with dementia, Parkinson’s or learning difficulties.
The service had a registered manager. 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.
People received outstanding care which was continually reviewed to ensure the best possible outcomes. People's needs were comprehensively assessed and care plans gave clear guidance on how people were to be supported. Care was personalised so that each person's support reflected their preferences. We saw that people were at the centre of their care and found that their care and support was planned with them and not for them. People were supported to attend a range of leisure activities as well as being able to develop their own independent living skills. The service was flexible and adapted to people's changing needs and desires, enabling positive outcomes for all concerned. Each person was treated as an individual and as a result their care was tailored to meet their exact needs.
Staff were highly motivated to provide effective and compassionate care. They received comprehensive training and were provided with regular support. This included core training and shadowing which enabled them to be knowledgeable about their roles and responsibilities. Staff roles included 'champions' who had increased knowledge in areas such as dementia care. They were also provided with on-going training to update their skills and knowledge to support people with their care and support needs by a specialist training team. Further encouragement was given to enable staff to undertake additional qualifications.
People's experiences of care were extremely positive. People and their relatives were encouraged to fully engage in discussions about their care and support and this was facilitated by various communication methods. The service worked proactively to help people to make choices and decisions about their care and lifestyle and to be as independent as possible. Staff knew each person as an individual and what mattered to them. Privacy and dignity was respected by staff with whom positive relationships had been formed and who promoted individuality.
The services’ management team had a clear vision for the service and the direction of its future development. They were dedicated to providing a high quality service to the people the service supported and to the continual improvement of the service. They were influenced by the needs of the people it supported, and were committed to providing high quality care that was personalised to people's needs. Visions and values were cascaded to staff at regular meetings and during training courses, which gave them an opportunity to share ideas, and exchange information about possible areas for improvements to the registered manager. Ideas for change were always welcomed, and used to drive improvements and make positive changes for people.