Background to this inspection
Updated
14 March 2020
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 an inspector.
Service and service type
This service 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 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 and wanted to be sure there would be people at home to speak with us.
Inspection activity started on 10 February 2020 and ended on 17 February 2020. We visited the office location on 10 February 2020 and 17 February 2020.
What we did before the inspection
We reviewed information we had received about the service and sought feedback from the local authority. We used all of this information to plan our 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.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided, by telephone. We visited two people and their relatives in their homes. We spoke with seven members of staff, including the registered manager, registered provider, staff trainer, care co-ordinator and three support staff.
We reviewed a range of records. This included four people’s care records, multiple medication records and four staff files. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
14 March 2020
About the service
Adada Care Services (Cheshire) is a domiciliary care service providing care and support to adults in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. At the time of our inspection 40 people using the service received help with their 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’s needs had been assessed, care plans developed, and risk assessments put in place to ensure people’s individual needs could be met and risks reduced or mitigated. Care plans were regularly reviewed and updated as changes occurred.
Regular staff had developed positive relationships with people and their relatives. They had a good understanding of how to meet each person’s individual needs and fully understood their routines and preferences. There were enough staff to meet people’s needs.
People’s privacy and dignity was consistently respected. People told us their independence was promoted by the staff that supported them.
Safe recruitment procedures were in place and staff received appropriate training, and supervision. The staff and management team worked closely with health and social care professionals to ensure good outcomes for people.
Medication was managed safely by trained and competent staff. Medication administration records (MARs) were fully completed and regularly reviewed. Medicines policies and procedures were available for staff along with best practice guidance. Staff had access to and understood the importance of personal protective equipment (PPE). An infection control policy and procedure was in place and staff had completed training in this area.
People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training on how to keep people safe. Staff told us they felt confident to identify and raise any concerns they had about people’s safety. They believed prompt action would be taken.
The service was well-led. There was a warm and positive culture. People, relatives and staff told us that management were approachable. The registered manager and staff spoke positively about the provider. People’s views were sought in a variety of ways including informally, during regular meetings and in quality surveys.
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 at the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 13 May 2019 and this is the first inspection.
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.