Archived: All 4U Care Ltd

Updated 25 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 site visit activity started on 13 November 2019. We visited the office location to see the manager and staff and to review care records and policies and procedures.

What we did before the inspection

Before inspection we looked at information we held about 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 the registered manager, deputy manager, senior care staff and the administrator. We reviewed a range of records. This included people’s care records and risk assessments. We looked at three 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 who used the service and two relatives about their experience of the care and support provided. We spoke with four care staff. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records

Updated 25 December 2019

About the service

All 4U Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the time of the inspection 15 people were receiving personal care from service.

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

Care plans did not always fully cover people’s preferences related to end of life care. Whilst no one using the service was receiving end of life care, their care plans did not contain information about their wishes and preferences about end of life care. We have made a recommendation about this.

People and their relatives told us they were happy with the care and support provided. One person told us, “These carers are excellent. I couldn’t wish for better.” Another person said, “[Staff] are very good. The best I’ve had and they are always on time."

People told us they felt safe. Systems were in place to protect people from abuse. Risk assessments were completed to identify and manage risks to keep people safe. Staff were trained to support people to take their medicines and measures were in place to protect people from the spread of infection. There were enough staff to meet people’s needs and staff were punctual. Pre-employment checks were carried out to ensure staff were suitable to support people. There were procedures for responding to accidents and incidents.

The service carried out assessments of people’s needs prior to the provision of care and support, to ensure they could meet their needs. 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. Policies and systems were in place to support this. Staff supported people to eat and drink enough to meet their needs. Staff had completed required training to perform their roles effectively and felt supported in their role. The service worked with other agencies to promote people’s health, safety and well-being.

People received care and support from staff who were caring and compassionate. People described staff as, “Lovely,” “patient” and “helpful.” Staff treated people in a respectful manner maintaining their dignity and encouraging independence. Systems were in place to protect people’s right to confidentiality. The service was respectful of people’s equality diversity.

Care plans were person centred and included the individual needs of people. Care plans were reviewed monthly to reflect people’s changing needs. Complaints procedures were in place and people and their relatives were provided with a copy of the procedure.

People were positive about the registered manager and how the service was managed. One person said, “The manager is hands on, if there’s any problem you just say and its fixed.” A relative said the service had, “Very good management.” Staff told us they found the registered manager approachable and supportive.

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

Rating at last inspection

This service was registered with us on 7 December 2018 and this was the first inspection.

Why we inspected

This was a planned inspection based on our current methodology of inspection scheduling.

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.