Kamino Homecare Ltd

Updated 9 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 October 2018 and was announced. We gave the service 48 hours' notice of the inspection visit to ensure there was somebody at the location to facilitate our inspection.

The inspection was carried out by one inspector who visited the provider’s office.

Prior to our inspection, we reviewed information we held about the service, including notifications sent to us at the Care Quality Commission. A notification is information about important events which the service is required to send us by law. We looked at the information sent to us by the provider in the Provider Information Return, this is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This inspection was informed by the feedback from the funding local authority.

During the inspection visit, we spoke to the registered manager, a field supervisor, a human resources officer, an administrator, a senior care staff member and five care staff. We reviewed five people's care plans and risk assessments, five staff files including recruitment and training, and records related to the management of the service.

Following the inspection, we spoke to four people who used the service and three relatives. We reviewed documents provided to us after the inspection including updated care plans and risk assessments, complaints logs, missed call logs, and policies and procedures.

Updated 9 November 2018

This was a comprehensive inspection that took place on 16 October 2018. We informed the provider 48 hours in advance of our visit that we would be inspecting. This was to ensure there was somebody at the location to facilitate our inspection.

The service was last inspected on 12 May 2016, where we found the provider to be in breach of the regulations in relation to safe care and treatment, staffing and good governance. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective and well-led to at least Good. At the focused inspection on 31 October 2017, we found that the provider had made improvements and were no longer in breach of the regulations.

Kamino Homecare Limited is a domiciliary care service registered to provide personal care to people in their own homes. At the time of this inspection, the service was providing personal care to over 43 people living with dementia, a mental health condition, physical disabilities, older people and younger adults.

The service had a registered manager 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and staff were trustworthy. Staff were knowledgeable about how to safeguard people against avoidable harm and abuse. People’s risk assessments gave information on how to mitigate risks to provide safe care.

People told us staff were reliable and arrived on time. The provider had systems in place to monitor staff’s timekeeping and punctuality. Staff told us care visits were well organised and they had enough travel time.

The provider followed safe recruitment procedures and there were enough staff to meet people’s needs safely.

People’s medicines were managed safely. Staff were trained in infection control and followed safe infection control practices to prevent the spread of infection. There were systems in place to report, record, investigate incidents and learn lessons from them.

People’s needs were assessed before they started receiving care. They told us their dietary needs were met and they were supported where requested to access healthcare services.

Staff received regular training and supervision to provide effective care. The provider delivered care in line with the Mental Capacity Act 2005 principles.

People told us staff were caring and treated them with dignity and respect. Their cultural needs were recorded and met by staff. Staff supported people to remain as independent as possible. Staff were trained in equality and diversity. The provider encouraged lesbian, gay, bisexual and transgender people to use the service.

People’s care plans were individualised and regularly reviewed. People and relatives told us they were involved in the care planning process. People on palliative and end of life were supported with their needs.

People and relatives knew how to make a complaint and were satisfied with the process.

People and relatives spoke highly of the management. Staff told us they felt well supported. The provider had effective monitoring and auditing checks and systems to ensure the safety and quality of the service. People, relatives and staff’s feedback was sought to continuously improve the service.