Background to this inspection
Updated
8 February 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
The inspection was carried out by two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 would be in the office to support the inspection.
Inspection activity started on 2 January 2020 and ended on 8 January 2020. We visited the office location on 2 January 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the provider, area manager, area supervisor and care workers.
We reviewed a range of records. This included three people’s care records medicine records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits and quality assurance systems.
After the inspection
We spoke with two people who use the service about their experience of using the service.
Updated
8 February 2020
About the service
Care with Dignity Partnerships is a domiciliary care agency supporting people living in Oxfordshire. At the time of our inspection there were 37 people receiving support with personal care.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People continued to benefit from outstanding care, provided by staff who were exceptionally caring and compassionate. There was overwhelming evidence that staff consistently went the extra mile to support people. People and their relatives were involved as partners in their care and were in control of how their needs were met.
There was excellent leadership from the registered provider who promoted a strong person-centred culture that ensured everyone was treated as unique individuals. Everyone, without exception felt valued and listened to. There was a unique team ethos where staff supported each other to ensure people were at the forefront of all they did. The provider ensured there were effective systems in place to monitor and improve the service.
Staff understood their responsibilities to report any concerns of abuse or harm. Risks to people were assessed and there were plans in place to support people to manage risks. Medicines were managed safely, and people were supported, where needed, to ensure they received their medicines as prescribed. People received support from consistent staff who arrived on time. No one we spoke with had experienced a missed call.
There were detailed care plans that guided staff in how people wished their needs to be met. Staff supported people to engage in activities both within and outside their homes. People were confident to raise concerns. Any complaints were investigated and responded to.
Staff were highly skilled and were supported to develop and improve their skills and knowledge. People were supported to access support from professionals when needed. Where people required support with nutritional needs these were met, ensuing people had choice and control over what they ate.
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.
Rating at last inspection
The last rating for this service was Good (published 10 July 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.