We carried out a review of the data available to us about Careline Homecare (Sheffield) on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Careline Homecare (Sheffield), you can give feedback on this service.
Careline Homecare (Sheffield) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides services to younger and older adults, people with learning disabilities, people with physical disabilities and complex health needs. At the time of inspection 92 people were receiving support from the service.
Not everyone using Careline receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support
The model of care maximised people’s choice, control and independence. 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. There were enough staff to take care of people. Staff were receiving appropriate training and they told us the training was good and relevant to their role.
Right Care
People's likes, preferences and dislikes were assessed, and care packages met people's expectations. Risks to people's health and safety were identified and assessed to ensure safe care delivery for people. Care was person-centred and promoted people’s dignity, privacy and human rights. Care plans were up to date and detailed the care and support people wanted and needed. People’s medicines were managed safely.
Right Culture
The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives. People who used the service and their relatives told us staff were kind and caring. People and relatives engaged in planning people’s care and support. The provider had strengthened their systems for monitoring the quality and safety of the service.
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 20 June 2019) and there were breaches of regulation. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended the service consider current guidance on the Mental Capacity Act 2005 (MCA) and act to update their practice accordingly. At this inspection we found the provider had acted on any recommendations and had made improvements.
Why we inspected
We carried out a comprehensive inspection of this service in May 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements and recommendation.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Careline Homecare (Sheffield) on our website at www.cqc.org.uk.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
Careline is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides services to younger and older adults, people with learning disabilities, people with physical disabilities and complex health needs. At the time of inspection 245 people were receiving support with personal care.
Not everyone using Careline receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
People’s experience of using this service:
Risks to people's health and safety were not always identified and assessed to ensure safe care delivery for people.
Medicines were not always being managed safely.
Care plans were up to date. However, they did not detail what care and support people wanted and needed in relation to health care needs. Information from other health professionals such as speech and language were not included in people’s care files. Records did not always demonstrate that people who used the service and relatives were involved in making decisions about the care and support they received or care planning and reviews.
People's likes, preferences and dislikes were assessed, and care packages met people's desired expectations.
People who used the service and their relatives told us staff were kind and caring.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, the policies and systems in the service required reviewing to support this practice.
Staff were being recruited safely and there were mostly enough staff to take care of people. Staff were receiving appropriate training and they told us the training was good and relevant to their role. Staff were supported by the manager and were receiving formal supervision where they could discuss their ongoing development needs.
There were a complaints procedure and people knew how to complain. However, the service was not following their procedure in recording their responses to the complainant.
There were mixed views of the registered manager, however, the registered manager had only been in post six months. The provider had systems in place to monitor the quality of care. However, these were not always effective.
Rating at last inspection:
This was the service’s first inspection.
Why we inspected:
This was a planned inspection.
Enforcement/Improvement action we have told the provider to take:
Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded”.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk