Background to this inspection
Updated
5 February 2020
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 completed by one 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.
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. They had been registered since March 2016.
Notice of inspection
The inspection was announced. We gave the service 48 hours of the inspection. This was because it is a small service, and we wanted to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. For example, incidents the provider must notify us about such as safeguarding concerns.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We requested feedback from the local authority quality monitoring officer, however they did not have any further information.
During the inspection
We spoke with three people who used the service. We also spoke with two relatives and two friends. We spoke with two members of care staff, one senior member of care staff, a care co-ordinator, an administrator, the registered manager and the provider. We reviewed a range of records including all or part of four people’s care records and one medication record. Several other records were reviewed in relation to the management of the service, including quality checks, training records, meeting minutes and accidents and incidents.
After the inspection
We continued to review further evidence provided by the registered manager.
Updated
5 February 2020
About the service
Kare Plus Coventry is a domiciliary care service providing support to people living 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. At the time of our visit, 11 people were receiving support with personal care.
People’s experience of using this service and what we found
Staff were exceptionally kind in their approach, displayed the right values, and had genuinely caring relationships with the people they supported.
Promoting independence was encouraged, to enable people to improve their daily life skills further. Staff were thoughtful and sensitive in their approach and creatively supported people to live their lives as fully as possible.
There were enough staff to ensure people were safe. Where risks associated with people's health and wellbeing had been identified, plans were in place to manage those risks. Medicines were administered correctly, and staff had received training in relation to this. Staff understood their responsibility to safeguard people from harm and knew how to report concerns.
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; systems supported this practice.
People received care which was clearly responsive to their individual needs. Staff knew people very well and took time to gain a good understanding of how to support them correctly. People were supported by consistent staff, and people and staff were matched, to ensure good relationships were formed.
Care records provided staff with person centred information in relation to people’s backgrounds, interests and individual health needs.
Staff encouraged people to maintain a balanced diet. The provider and staff team worked with external health professionals to ensure people's health and wellbeing was maintained.
A registered manager was in post. Very positive feedback was received in relation to the management of the service and many staff had chosen to work with the registered manager for several years. The manager and staff took time to get involved with the community, develop networks and fundraise. Staff were proud to work for the service.
Quality checks were carried out to monitor the service and identified where improvements could be made. The registered manager ensured they kept up kept up to date with best practice and new ideas and networked with other managers to do this.
The provider, registered manager and staff worked together to consider what they could do to support people who used the service and in the wider community. Staff had been recognised and praised for the excellent work they did supporting people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was rated as good (published 27 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.