All About Care

Updated 19 March 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 carried out by two inspectors.

Service and service type

All About Care 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 to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

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 also reviewed any information we held about the service and the registered provider. This included notifications that the service had told us about. Statutory notifications are information that the service is legally required to tell us about and includes significant events such as accidents, injuries and safeguarding incidents and investigations. We used all of this information to plan our inspection.

During the inspection

We spoke with two people and one relative who used the service about their experience of the care provided. We spoke with the registered manager throughout the day. We reviewed a range of records. This included four people’s care records and any medication records. We looked at four 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 spoke with three people and one relative on the telephone about the care and support they received from the service. We spoke with three care staff after the inspection. We continued to seek clarification from the provider to validate evidence found.

Updated 19 March 2020

About the service

All About Care service is a domiciliary care service, registered to provide personal care to people living in their own homes. At the time of this inspection the service was providing personal care to 19 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

The service had made improvements around management of medicines and people’s medicines were now managed safely by appropriately trained staff. People had risks identified and planned for. The service had improved systems to monitor the quality of care provided and to promote the continuous improvement of the service. Close links had been developed with community teams to ensure people received the best support.

People received good care and support from dedicated staff who consistently demonstrated strong caring values that were embedded throughout the service. People, their relatives and external professionals spoke highly of the service.

People told us they felt safe. Staff had a good understanding of their safeguarding responsibilities and had raised any concerns they had to the appropriate authorities Staff followed infection control policies and people confirmed this to us.

People were cared for by staff who were safely recruited, well trained and very knowledgeable about the people they supported. People and relatives told us staff were always kind and compassionate, maintained privacy and treated people with upmost dignity and respect. Staff worked hard to prevent social isolation by taking time to learn what was important to people.

People were involved in the assessments of their needs and personalisation of their care plans. 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's views and concerns were listened to People and relatives were given various methods of ways to provide feedback which the registered manager always acted on.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (published 12 March 2019). We found breaches of regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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 reinspection programme. If we receive any concerning information we may inspect sooner.