Carerose Cares Limited

Updated 28 January 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

This inspection was carried out 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.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 13 December 2019 and ended on 06 January 2020.

What we did before the inspection

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.

During the inspection

We spoke with five people who used the service and three relatives about their experience of the care provided, including visiting two people in their own homes. We spoke with five members of staff including the registered manager.

We reviewed a range of records. This included seven people’s care records and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted four professionals who knew the service.

Updated 28 January 2020

Carerose Cares Ltd is a domiciliary care service providing personal care to people living in their own homes. At the time of our inspection there were 35 people receiving personal care support.

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

Staff received training in safeguarding and there were systems in place designed to reduce the risks of abuse. Risk assessments helped protect the health and welfare of people who used the service. There were enough skilled and safely recruited staff available to meet people's needs. People's medicines were managed safely, and senior staff were overseeing medicine processes. People told us they felt safe.

Staff received regular training updates and felt supported in their roles. 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; the policies and systems in the service supported this practice.

The registered manager carried out assessments of people's care and support needs before they started using the service. Their care and support were reviewed on a regular basis to ensure their needs continued to be met by staff.

People and their relatives were positive about the care provided. The registered manager and staff knew people well. The service had a complaints policy and all concerns included minor concerns were recorded with actions taken. Care plans included guidance on the support required during each visit.

Whilst no-one was currently receiving end of life care we have made a recommendation about documenting people's future wishes for end of life care.

Systems were in place to assess and monitor the service provided. People's views were sought relating to the service provided and these were used to drive improvement.

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

The last rating for this service was good (published 09 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.