Care4u2day Limited

Updated 21 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 completed 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 domiciliary care agency and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 16 December 2019 and ended on 6 January 2010. We visited the office location on 17 December 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 completed 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 domiciliary care agency and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 16 December 2019 and ended on 6 January 2010. We visited the office location on 17 December 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This 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 took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with four people who used the service and received feedback from three relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager and care staff.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records, feedback and meeting minutes.

Updated 21 February 2020

About the service

Care4u2day Limited is a domiciliary care agency providing personal care. At the time of the inspection they were supporting 24 people.

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 consistently told us they were safe and trusted their care staff. Staff had a good understanding of what to do to help make sure people were protected from harm and knew how to raise an alert or any concerns they may have had. Risks to people's health and welfare were identified and actions taken to mitigate the risk. People received their prescribed medicines safely, from staff who had completed the required training and had their competency to do so assessed. Suitable numbers of appropriately recruited staff were available to meet people's needs. Staff adhered to the provider's infection control policy and used the appropriate equipment and clothing, when required. The agency reported, investigated and recorded accidents and incidents and safeguarding concerns.

Staff were trained, supervised, and appraised. People and their relatives praised staff’s knowledge and felt they had the necessary skills to meet people's needs. Staff promoted people's health by supporting people to access health care services when required. They supported people with eating and drinking where this was identified as a need in their care plan. 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.

People told us they were consistently treated with kindness and respect. People were supported to express their views about their care and their wishes were respected. Staff acknowledged and respected people's privacy, dignity and confidentiality. All staff we spoke with demonstrated kindness and spoke respectfully about the people they supported.

People had their needs assessed, reviewed and received personalised care that was responsive to their needs and preferences. People were given enough information to make their own decisions and were given choices and support to follow their routines. Staff enabled people to raise concerns and complaints, which were used to improve people's experience of the care they received.

The service had an open, honest and positive culture with transparent management and leadership. There were quality assurance systems in place to help monitor the quality of the service and identify any areas which might require improvement. There was a clear focus on continually seeking to improve the service people received and maintaining high standards of care. Staff told us they enjoyed working at the service and that they were well supported by the management team.

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 Good (published 23 May 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.