Background to this inspection
Updated
30 November 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
The 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 houses and flats.
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 48 hours’ notice of the inspection. This was because it is a small service 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
Before the inspection, we reviewed information we held about the service. This included information received from the provider as required by law to report certain types of incident and events. 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 the registered manager, a director, a consultant and a care worker. We looked at one person’s care plan and three staff files. We also looked at records used in managing the service such as policies and procedures, audits and minutes of meetings.
After the inspection
We spoke with a relative on the telephone to seek their views about the service.
Updated
30 November 2019
About the service
Mulier Care is a domiciliary care agency. It provides personal care to people living in their own houses or flats. It provides a service to older adults and younger disabled adults. At the time of this inspection one person was using the service.
People’s experience of using this service
Relatives told us people were safe, and the care and support met their loved one’s needs. They had regular staff who understood their care needs and worked as a team to support and to deliver an effective service. People were protected from the risk of avoidable harm and were supported to safely receive their medicines. Enough staff were deployed to support people's needs and the service followed safe recruitment practices. Staff followed appropriate infection control practices to prevent the spread of diseases.
People’s needs were assessed to ensure these would be met. Staff were supported through an induction, training and supervision to ensure they had the knowledge and skills to perform their role. People were supported to maintain a healthy weight and to access healthcare services. The service worked in partnership with health and social care professionals to plan and deliver an effective service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported by staff who were kind, caring and respected their privacy and dignity. Staff understood people’s health conditions, cultural backgrounds and diverse needs and supported them in a caring way. People and their relatives were involved in making decisions about their care and support needs and knew how to make a complaint if they were unhappy; however, they had not needed to complain about anything at the time of our inspection. There were systems in place to assess and monitor the quality and safety of the service and records were accurate, complete and up-to-date. Feedback from people and staff was used to improve the quality of the service.
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 requires improvement (published 25 October 2018).
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.