Updated 18 September 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Kare Plus Milton Keynes and Bedford provides personal care to people living in their own houses and flats and provides a service to a range of adults. Not everyone using the service received the regulated activity ‘personal care’. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The service had a manager registered with the Care Quality Commission. This means 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:
The inspection was announced. We gave the provider 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure someone was available. The inspection started on 27 August 2019 by visiting the office location to review records, policies and procedures. We returned to the office to finish our inspection on 2 September 2019, and also made telephone calls to people using the service.
What we did:
We reviewed information we had received about the service, including information within the Provider Information Return (PIR). The PIR 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 looked at other information received from the provider, such as statutory notifications about events the provider must notify us about. We also reviewed feedback from other professionals who work with the service. We took all the information into account when we inspected the service and making the judgements in this report.
During our inspection we spoke with three people using the service, two relatives of people using the service, two care staff, the office manager, the provider, and the registered manager. We reviewed the care records for four people, and other records relating to the management oversight of the service. These included staff recruitment files, staff training and supervision records, policies and procedures, surveys and feedback from people who used the service and quality assurance audits.