Background to this inspection
Updated
6 October 2021
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 two inspectors.
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
This inspection was unannounced. Inspection activity started on 15 September 2021 and ended on 21 September 2021. We visited the office location on 15 September 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. 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. We also requested feedback from Healthwatch Stockport. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people and relatives about their experience of the care provided. We spoke with 19 members of staff including the registered manager, the director, the owner, the branch manager, the trainer, care coordinators and care staff. We reviewed a range of records. This included six people's care records and associated risk assessments. We looked at three staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
6 October 2021
About the service
C4 Care Limited is a domiciliary care service providing personal care to 53 people at the time of the inspection.
Not everyone who uses domiciliary care services receives 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 were protected from the risk of abuse and avoidable harm by staff who understood how to recognise and respond to concerns. Risks were well managed. Medicines were managed safely, and staff worked with other healthcare professionals to meet people's needs. The provider had not requested a full working history from all staff. We have made a recommendation about safe recruitment.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs were assessed. Care and support had been planned proactively and in partnership with people and their relatives. Relatives were positive about the service. They told us staff were kind and caring.
People were treated with dignity and respect and were involved in their care planning and delivery. People's right to privacy was upheld. The registered manager could provide people with information about local advocacy services, to ensure they could access support to express their views.
People received person-centred care which was responsive to their needs. People's communication needs had been assessed. Relatives knew how to complain, and felt concerns raised would be listened to and acted upon.
The management team were hands on, visible and available for support. They knew people and their relatives well. People and relatives said the registered manager was approachable and felt happy and comfortable talking to them at any time.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection This service was registered with us on 10 September 2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.