Background to this inspection
Updated
25 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
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 homes.
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 24 hours’ notice of the inspection. This was because the service is small and we needed 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. 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 us some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We visited three people in their homes accompanied by their relatives. We spoke to two people and three relatives by telephone after the inspection visits. We spoke with the manager, deputy manager, manual handling trainer, care co-ordinator, senior support worker and three support workers.
We reviewed a range of records. This included three people’s care records and multiple 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.
Updated
25 October 2019
La Petite Concierge is a domiciliary care service providing care and support to people in their own homes. They were providing a service to 50 people at the time of the inspection.
People’s experience of using this service and what we found
People were supported by staff that had been safely recruited and had received an induction and training suitable for their role. There were enough staff to meet people’s needs and people told us regular staff visited them and had got to know them well.
People’s needs were assessed before they were supported by the service. Each person had a care plan that reflected their preferences and routines. Care plans held sufficient information to guide staff on how best to meet people’s needs and they were regularly reviewed and updated. People told us staff were kind, caring and compassionate. Staff had a good understanding of how to meet people’s individual needs.
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.
People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training on how to keep people safe. They told us they felt confident to raise any concerns they had about people’s safety.
Medication was managed safely. Staff who managed medication had completed the required training and had access to medicines policies and best practice guidelines to support their practice. Medication administration records (MARs) were fully completed and regularly reviewed. Staff had received infection control training and followed good practice to minimise the risk of infection being spread.
People’s privacy and dignity was respected and their independence promoted to the full. People spoke positively about the service and the staff that supported them. There were audit systems in place that identified areas for development and improvement.
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 good (published 4 March 2017)
Why we inspected
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.