Take 4 Care Ltd

Take 4 Care Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 37 people receiving a regulated activity.

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

Feedback from families and relatives was positive. One person told us, “I have had an extremely good carer.”

Care and treatment were planned and delivered in a way that was intended to ensure people's safety and welfare. Care was personalised around people’s needs and preferences. There was enough staff to meet people’s needs. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed.

There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medicines were dispensed by staff who had received training to do so.

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 promoted positive outcomes for people using the service. Quality assurance systems were in place to monitor the quality and safety of the service. The registered manager maintained good oversight of the service and used this to continuously drive improvements.

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

Rating at last inspection

The rating at the last inspection was good (report published 25/08/2017).

Why we inspected

The service was inspected due to the length of time since the last inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Take 4 Care Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The office visits took place on 24 July 2017 and 2 August 2017 and were announced. We telephoned people, their relatives and care workers on 27 July 2017 and 1 August 2017 to obtain their views of the service.

There was a registered manager 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.

We found some issues around medication recording and paperwork without any direct impact on people. The provider responded immediately to safeguard people and improve practices. People were happy with the support they received with regard to medication. Care workers had been trained and their competence to administer medication had been checked.

People were protected from the risk of harm and they told us they felt safe when care workers were in their homes. There were enough care workers to meet people’s assessed needs and to help care for them safely. People were cared for by experienced, supported and well-trained care workers. The service supported people to have as much choice and control over their lives in the least restrictive way possible. People received sufficient food and drink to meet their needs and preferences and their healthcare needs were met where this was required.

Care workers knew the people they cared for well and they were kind, caring and compassionate in their approach. People were encouraged and supported to remain as independent as possible. Care workers ensured that people were treated with dignity and respect and their privacy was maintained at all times.

People and their relatives were fully involved in the assessment and care planning process. Their care plans had been regularly reviewed and updated to ensure they continued to meet people’s changing needs. Complaints were dealt with appropriately and in a timely way.

People were consistently positive about the quality of the service. The registered manager and care workers were committed to providing people with person centred care that met their needs and preferences. There were systems in place to monitor the quality of the service and to drive improvements. The service met all relevant fundamental standards.

Further information is in the detailed findings below.