About the service Caremark (Redditch and Bromsgrove) is a domiciliary care service providing personal care to people in their own homes. The service provides support to people who may have dementia, people who may have an eating disorder, people who may misuse drugs and alcohol, people who may have mental health needs and people who may have a learning disability or autistic spectrum disorder. At the time of our inspection there were 57 people using the service.
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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: Model of Care and setting that maximises people’s choice, control and independence
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.
Staff were recruited in line with the provider’s policy with pre-employment checks completed. Staff had been trained and had the skills to support people. However, further training was needed in specific areas, such as textured modified diets. Staff had received training to support people with learning disabilities and/or autistic spectrum disorders, however the provider acknowledged this was basic training and more in-depth training would be given.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights
People told us they felt safe and supported by the staff who cared for them. People said they felt safe with staff in their homes. Staff understood how to protect people from the risks of abuse and how to report any concerns. People’s care, treatment and support plans gave staff the information they needed to provide safe care. People’s care plans provided detail on how staff should support people in the right way to keep them safe. Staff ensured people’s rights and dignity were promoted and protected within the agreed risk management plans of care. Infection, prevention and control was managed well.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
The provider had good oversight of the service. Quality checks took place and identified where improvements were needed and actions were taken. The provider had ensured we (CQC) were informed about incidents we should be legally told about. Feedback was sought from people, relatives and staff about how they felt about the service they received. This feedback was positive about the hands-on caring approach by staff. The provider was open to feedback and was willing to learn lessons and make further improvements to strengthen the quality of the service. Staff felt valued and said they felt supported by the provider and manager.
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 the service under the previous provider was Good, published on 12 June 2019.
Why we inspected
The inspection was prompted in part due to concerns received about people’s safety. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.