Archived: Micbee Care & Employment Limited

We considered our inspection findings to answer questions we always ask; is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well led?

Was the service safe?

People who use the services were treated with respect and dignity by the care workers. People told us they felt safe with the service they received. Safeguarding procedures were robust and it was understood how to safeguard people being supported.

Recruitment practice was safe and thorough. The registered manager ensured that care workers were appropriately qualified to meet the care needs of people who used the services. This helped to ensure that people’s needs were met.

Was the service effective?

People who use the services health and care needs were assessed with them, and they were involved in their care and support planning. People told us that they had been involved in their care and support plans and that the plans reflected their needs. We inspected four people’s care files. They included essential information about the person, needs and risk assessment information and service delivery or care plans.

Staff received regular and appropriate training and supervision to ensure they were able to meet the specific needs of people using the service.

Was the service caring?

People who use the services were supported by kind and attentive staff. The four people we talked to said the staff treated them well and respected their privacy. People said that they were very pleased with the care they received. They said their care workers were caring, punctual and reliable. One person who we spoke with said, “Perfectly on time always”. Another person said, “All the care workers know what they are supposed to do and they are very caring and punctual”. People told us that if they had differing needs on any day their care workers usually tried to assist them.

People who use the services told us they had discussed their care plans and that they were able to discuss relevant issues and make decisions about what they wanted to do. This reflected the caring environment that we found on the day of the inspection.

Was the service responsive?

People who use the services were able to ask for changes in their care and support as their needs changed. Care plans were reviewed regularly and people told us that they felt well supported.

All the people who use the services we spoke with knew how to make a complaint. There was an appropriate complaints procedure in place and although no complaints had been made since the last inspection staff indicated that they would be supportive of anyone who needed to complain. People can therefore be assured that complaints would be investigated and action taken as necessary.

We saw that the service worked well with other agencies and services to make sure that people were supported in a co-ordinated way. It was clear that the main objective was to support people in relation to maintaining and developing their independence.

Is the service well-led?

We saw that the service worked well with other agencies and services to make sure that people were supported in a co-ordinated way. It was clear that the main objective was to support people in relation to maintaining and developing their independence.

The registered manager carried out regular checks to assess and monitor the quality of services provided and took appropriate action to address any issues or concerns raised about service quality.

The views of people who use the services, their representatives and staff were listened to by the manager. Staff told us they were clear about their roles and responsibilities. Staff had a good understanding of the ethos of the agency. This helped to ensure that people received a good quality service.

The feedback we received from relatives when we spoke with them as a part of this inspection was very positive. One person said, “I have no concerns about Micbee care at all, it is of the highest quality, they have been fantastic with my dad”. Another person said, “They have made all the difference with my mother, she’s had a new lease of life. I hope they can go on caring for her for a long time”. Someone else told us, “The care workers have formed an exceptional bond with my dad, their care is faultless”.

As part of our inspection we spoke with two people who use the service and or their family members by telephone. The feedback we received about peoples care and support was positive. One person told us “Overall I am very happy with the service. The carers that visit are consistent so we get to know them well. Our regular carer is excellent”. Another person told us “The service is very good. The carers always come on time and they never let me down”.

People had consented to their care and treatment. Where people did not have the capacity to consent, decisions would be made in their best interest and with people’s family members fully involved.

People experienced care, treatment and support that met their needs and protected their rights. We looked at care records and support plans for five people using the service. Care plans we examined were person centred and contained detailed guidance for staff on how to support people who use the service in all areas of their daily lives.

People who use the service told us that they knew who to speak with if they had a concern or complaint and they had been given information on the complaints process. This information was contained in the client user guide which was kept within peoples care plan records in their homes.

We looked at the plans in place to provide care and support to people using the service. We found there were instructions and guidance for staff about how to meet people’s care and support needs.

Staff had received recent training to keep their skills and knowledge up to date. They were given guidance and instructions about what they should do to protect people who may be at risk of abuse, harm or neglect.

The registered manager carried out checks to asses and monitor the quality of service provided.