Compassion PLUS Healthcare

Updated 18 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

This inspection was carried out 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 small service 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 31 October 2019 and ended on 14 November 2019. We visited the office location on 14 November 2019.

What we did before 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. 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 used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with two members of staff and the registered manager.

We reviewed a range of records. This included two people’s care records. We looked at two staff files in relation to recruitment. 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 further quality assurance records.

Updated 18 December 2019

Compassion PLUS Healthcare Ltd is a domiciliary care agency providing personal care and support to people in their own homes. It provides a service to adults aged 65 or over. At the time of inspection, the service was providing personal care to five people.

People’s experience of using this service and what we found

People felt safe. One person said, “I feel safe and happy with everything they do for me.” Risks associated with care and the environment were recorded and monitored. There were enough staff to meet people's needs in a consistent and flexible way. Staff protected people from avoidable harm, were knowledgeable about safeguarding and felt able to raise concerns. Systems were in place to recruit staff safely. Staff administered people’s medicines when required and these were safely managed.

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. Consent to care was sought and staff understood people's rights to make their own decisions. Staff received training in key areas, and plans were in place to source further training for staff. Staff received support to enable them to carry out their roles effectively. New staff received an induction and shadowed the management team as part of this. Systems were in place to ensure information to support people was shared and discussed appropriately with health professionals, where necessary.

People told us staff were kind and caring. They had built meaningful relationships with staff and felt they mattered and were listened to. Staff were aware of the importance of promoting people’s dignity and maintaining their privacy.

People's needs were assessed before they began to use the service and care plans were developed from this information. Care plans contained information for staff to support people according to their needs. A system was in place for responding to people's concerns and complaints. People felt confident to raise any concerns. No person required end of life care at the time of inspection.

People, their relatives and staff felt the service was well led. Quality assurance systems identified where the service needed to improve and ensured the service was safely managed. The registered manager was responsive to any issues raised during the inspection and demonstrated a passion and enthusiasm for driving improvements where identified.

You can read the report from this comprehensive inspection, by selecting the ‘all reports’ link for Compassion PLUS Healthcare Ltd on our website at www.cqc.org.uk.

Rating at last inspection and update:

This service was registered with us on 01/11/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the service’s registration date.

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.