Calvary Care

Updated 10 December 2021

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 team on site consisted of one inspector.

Service and service type

Calvary Care is a domiciliary care agency. It provides personal care to people living in their own homes.

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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We reviewed and discussed four care plans, five staff files and medicines records. We also spoke with the registered manager and deputy manager.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at care documentation and quality assurance records. We also spoke with two care workers and two relatives to gain their views about the service.

Updated 10 December 2021

About the service

Calvary Care provides personal care to people in their own homes in the community. At the time of our inspection, 4 people were receiving personal care from the service.

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

During this inspection, we found improvement was needed in relation to medicines management and assessing risk. There were systems in place to assess and monitor the quality of the service provided, however were not sufficiently robust to identify the issues found at this inspection.

People’s care plans did not reflect the appropriate support for people and were task focused.

We have made a recommendation about person centred care planning.

Relatives told us they felt people were safe using the service. Staff followed appropriate infection control practices. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service.

Assessments were carried out prior to people joining the service to ensure their needs could be met. Staff had the training and knowledge to meet people's needs. People were supported to maintain good health and access healthcare services when needed. People were supported with their food and drink.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

The provider worked in partnership with healthcare services and professionals to plan and deliver an effective service.

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

This service was registered with us on 15/03/2019 and this is the first inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well led sections of this full report.

We found no evidence during this inspection that people were at risk of harm from this concern.

Enforcement

We have identified a breach in relation to medicines management at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.