Background to this inspection
Updated
5 July 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
The inspection was carried out by one adult social care inspector.
Service and service type
Anthony James Care Limited 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 36 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection. Inspection activity started on 19 June 2019 and ended on 21 June 2019. We visited the office location on 20 June 2019.
What we did before the 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 such as Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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
During the inspection we spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with two members of staff and the provider who was also the registered manager. We also spoke to one healthcare professional.
We reviewed a range of records and included two people’s care records. We looked at two 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.
Updated
5 July 2019
About the service
Anthony James Care Limited is registered as a domiciliary care agency which provides personal care to people in their own homes. At the time of our inspection four people used the service, all received personal care.
People’s experience of using this service and what we found
People told us staff were exceptionally compassionate and kind.
People told us the service went above and beyond to ensure their needs and wishes were met. One person described the service as 'the best care provider they have ever had'.
People told us there were enough staff with the right expertise to meet their needs.
People told us staff knew them exceptionally well.
People told us staff were never late and never missed a care call. Staff often stayed longer than their agreed time.
People were involved in all aspects of their care and felt in control of their lives. Where appropriate, relatives and representatives were involved in decision making.
People were respected for who they were and were always treated with dignity and respect.
People were safe and protected from abuse and avoidable harm.
Risks to people had been identified and assessed and staff knew how to mitigate risks to people.
Staff had been provided with specialised training to support a person’s specific medication needs.
Staff followed good infection control practices.
Staff received a thorough induction and had access to the training and guidance they needed to complete their role well.
Peoples nutritional needs were assessed, and staff encouraged people to maintain a balanced diet.
Staff made referrals to healthcare professionals where necessary in a timely way.
People experienced positive outcomes regarding their health and well-being.
People received personalised care which promoted their individual needs and preferences.
People's communication needs were recorded in their care plans and staff interacted with people in their preferred way.
People and relatives knew how to raise concerns and were confident action would be taken in a timely way.
People and relatives consistently told us the service is exceptionally well led and the registered manager went above and beyond to ensure people received high quality, compassionate care.
Relatives told us they were always kept up to date with important information relating to their family member and could contact the registered manager at any time.
The registered manager understood their regulatory responsibilities and their requirement to provide us (CQC) with notifications about important events and incidents that occurred whilst the service was delivering care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 23 July 2016)
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 re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Anthony James Care Limited on our website at www.cqc.org.uk.