Edmonton Also known as Enfield

Updated 30 November 2022

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and/or specialist housing.

Registered manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually 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 1 person who used the service and 3 relatives/friends about their experience of the care provided. We spoke with 3 members of staff including the provider who is also the registered manager and two care workers.

We reviewed a range of records including 3 people's care records and medicines records. We looked at 3 staff files in relation to recruitment, training and supervision. A variety of records relating to the management of the service, including policies and procedures, complaints and audits were also reviewed.

Updated 30 November 2022

About the service

Edmonton, most commonly known as We Care 4 You Services Ltd, is a domiciliary care agency providing personal care and support to people living in their own homes. People’s needs were varied and included older people and people who had physical disabilities. At the time of the inspection, 7 people living in Buckinghamshire were using the service.

All of the 7 people 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.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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

People felt safe with the service they received. Staff were caring and protected people from abuse. Risks to people were assessed and mitigated by having clear guidance in place. People received their medicines safely and as prescribed.

People received care and support from a consistent staff team. Staff had the right skills and training, and received appropriate support to perform their roles effectively.

Staff assessed people’s individual needs before providing care and support to them. People received support with eating and drinking as set out in their care plans. Staff worked with other healthcare agencies to support people to live healthy lives.

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.

The service was responsive to people’s changing needs. Care plans contained detailed information about people which meant staff had a clear understanding of people’s needs. While people and their relatives had no complaints, a system was in place to manage complaints effectively.

People and their friends/relatives were included in managing their care and were satisfied with the care and support they received. Staff felt able to speak up and worked as a team to improve the service. The registered manager monitored the quality of service and understood their responsibilities to provide a safe environment for people, their relatives and staff.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 June 2021) and there were breaches of regulations around safe care and treatment, and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended that the provider ensure care plans were person centred and reflective of people's assessed care needs. At this inspection we found care plans had been improved and contained personalised information about people’s needs.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan following the last inspection and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, effective, responsive and well-led where issues were found previously.

For the key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Edmonton on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.