We undertook this announced inspection on 11 October 2018. Care Assist Limited is registered to provide Personal Care services to people in their own homes. The services they provide include personal care, housework and assistance with medication. At this inspection the service was providing care for a total of 19 people with mental healthcare needs living in two supported living accommodation settings located in Harrow and Hillingdon. This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; In respect of supported living, this inspection looked at people’s personal care and support.
At our last inspection on 11 March 2016 the service met the regulations we looked at and was rated as overall Good.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.
People who used the service informed us that they were satisfied with the care and services provided. They informed us that they had been treated with respect and they felt safe when cared for by care workers. There was a safeguarding adult’s policy and suitable arrangements for protecting people from abuse.
There were suitable arrangements for ensuring that people received their medicines as prescribed. Audit arrangements were in place and people stated that they had been given their medication.
Infection control measures were in place. Care workers assisted people in ensuring that their bedrooms and communal areas were kept clean and tidy.
Care workers had been carefully recruited and provided with a comprehensive induction and training programme to enable them to care effectively for people. They had the necessary support, supervision and appraisals from their managers. There were enough staff to meet people's needs. Teamwork and communication within the service was good.
People’s healthcare needs were monitored and when needed, care workers arranged for people to have appointments with healthcare professionals. Care workers worked well with social and healthcare professionals to bring about improvements in people’s mental state.
Care workers were helpful and caring in their approach. They listened to people and were aware of the individual needs and preferences of people. There were arrangements for encouraging people to express their views and make suggestions regarding the care and management of the service.
People’s care needs and potential risks to them were carefully assessed. Care workers had been provided with guidance on how to care for people. People had appropriate and up to date care plans. People and their representatives were involved in care planning. Regular reviews of care had been carried out with people and professionals involved to ensure that people received appropriate care. People were encouraged to be as independent as they can and to engage in educational and therapeutic activities which they liked. The service had a complaints procedure. People knew who to complain to if they had concerns. Complaints made had been promptly responded to.
People who used the service and two care professionals expressed confidence in the management of the service. Audits and checks of the service had been carried out by the registered manager and senior staff of the company. These included checks on incidents, complaints, medicines administration and health and safety checks of premises. Care workers were aware of the values and aims of the service and this included treating people with respect and dignity, providing high quality care and promoting people’s independence.