Care Needs Limited Stockport

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 undertaken by one Inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. This Expert by Experience has personal experience of supporting people who use adult social care services in a variety of settings

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 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 11 June 2019 and ended on 24 June 2019. We visited the office location on 11 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 commissioners of the service, adult social care and 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. We used all this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and six relatives about their experience of the care provided. We spoke with six members of staff including the nominated individual, registered manager and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included eight people’s care records and other related records. We looked at four 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

Care Need Limited Stockport is a domiciliary care service providing personal care to 84 people at the time of the inspection. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People told us they were safely and consistently supported by staff who knew them and their care needs. Assessments of needs and risk had been undertaken and guidance was in place to support staff to mitigate these risks. Staff were trained in their responsibility to safeguard people from abuse and they were confident the registered manager would act upon any concerns they raised about people's safety.

People were supported by staff who had suitable knowledge, training and support. Staff supported people to maintain their health by working alongside community health professionals such as district nurses and GPs. 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.

People were happy with the support they were receiving and felt involved in making decisions and having their independence promoted. People and family members spoke about how caring and kind staff were. People told us that staff respected their dignity and privacy when providing support with personal care.

People’s choices and preferences were respected, and care delivered was in line with these preferences where ever possible. The service was working with people to reduce social isolation and engage them with resources available within their local community when people wished for support in this area.

People and their relatives knew how to complain about the service if they needed to and were always asked for feedback about their experiences of the care and support being provided. They told us the registered manager was very approachable and they were confident the registered manager would respond promptly to any issues they raised.

People told us they felt the service was well led. The registered manager and nominated individual were committed to driving improvements within the service. People and staff told us the registered manager and office staff were very approachable and acted promptly to address any issues.

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 December 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.