Micbee Care & Employment Limited

Micbee Care & Employment Limited provides personal care to people in their own homes. There were 20 people using the service at the time of this inspection.

People’s experience of using this service

Relatives told us they felt their family member received safe care. Staff spoken with said people using the service were kept safe and were treated with dignity and respect.

People received support from a regular carer or group of care staff and these staff members were recruited safely. Where risks to people had been identified, assessments were completed to help keep them safe. People received their medicines safely when they needed them.

People's needs were assessed, and care plans put in place to support them safely and effectively. Staff were receiving appropriate training to assist them in their role. There were enough staff to support people's needs.

The provider had systems in place to monitor, assess and improve the quality and safety of the service being provided.

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 overall rating for this service was good (published March 2019).

Why we inspected

We received concerns in relation to how the service was provided and how people using the service were kept safe. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Micbee Care & Employment Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor the service and information we receive about them. If we receive any concerning information we may inspect sooner.

A registered manager was in post. 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.

At our last inspection in March 2016 we rated the service ‘Good.’ At this inspection we found the evidence continued to support the rating of ‘Good’ overall. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed from the last inspection.

People using the service and their relatives told us they were happy with the support provided by Micbee Care & Employment Limited. They told us that they had regular staff visiting who were punctual, polite and respectful and communicated with them well. People we spoke with said they would recommend the service to others.

There were systems to safeguard people from abuse. Staff completed safeguarding training and knew how to report any concerns. Staff understood the importance of gaining people’s consent before assisting them.

People were supported by staff who were trained, effective and well supported in their job roles. Staff members had been safely recruited and had received an induction to the service.

Staff had access to personal protective equipment (PPE) for the prevention and control of infection.

The service completed assessments of people’s needs and these were used to inform the care plan for each person. The service kept people’s needs under review and made changes as required. Any risks to people’s safety were identified and managed.

People and their relatives felt able to raise any concerns or complaints. There was a procedure in place for people to follow if they wanted to raise any issues.

People using the service and their relatives said that Micbee Care & Employment Limited was well managed and responsive to their needs.

Micbee Care and Employment Limited is a small domiciliary care provider who provides support and care to 19 people living in their own homes. People who use the service are older adults living within the local community.

There was a registered manager employed at the service. 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.

Everyone we spoke with told us that this was a good, safe service and said they were quite happy with it. People told us that the staff who supported them knew them and how to provide the care and support to meet their needs.

Appropriate risk assessments were in place that helped protect people and staff in the delivery of care and support.

People told us there were sufficient numbers of staff who helped support them in the way they needed to be cared for. We saw the service had sufficient staff available to support people. Safe systems were used when new staff were recruited to ensure they were suitable to work in people's homes.

We saw evidence that people received their medicines safely and appropriately.

People were treated with kindness and respect and were included in all decisions about their care. Staff knew how to protect people's privacy and supported people to maintain their independence.

The service demonstrated that they were aware of people's capacity and documented this in people's written records of care.

People were involved in planning their care and their views were sought when decisions needed to be made about how they were cared for. The service involved them in discussions to help keep them safe and promote their wellbeing. Staff treated people with respect and dignity.

People indicated that they felt that the service responded to their needs and individual preferences. Staff supported people according to their personalised care plans. Care plans were reviewed annually or earlier if people’s needs changed.

We saw there was an appropriate complaints policy in place that people were aware of. People told us that the provider encouraged people to raise any concerns they had and responded to them positively and in a timely manner.

There was a clear management structure to ensure the service was running in a way that was efficient and effective in supporting staff and to ensure the quality of the service offered to people.

People who used the service were confident that action would be taken if they raised any concerns. The registered manager asked people for their views about the care they received and acted in response to their feedback.

People gave positive feedback about the management of the service. The registered manager and the staff were approachable and fully engaged with providing good quality care for people who used the service. The provider had systems in place to continually monitor the quality of the service and people were asked for their opinions via surveys. Action plans were developed where required to address areas for improvements.