We carried out a review of the data available to us about Key Care and Support on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Key Care and Support, you can give feedback on this service.
Citibase Salford Quays is a domiciliary care service, which provides support for both children and adults in the community, who require assistance with personal or nursing care. At the time of this inspection the service was supporting four people.
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 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 supported people to access other healthcare professionals when required and supported some people to manage their medicines safely. People were supported in a friendly and respectful way. People and their relatives were complimentary about the staff and their caring attitude.
Systems were in place to recruit staff safely; there were enough trained staff to support people safely. Steps were taken to minimise risks where possible. Risks to people's health and wellbeing were identified and monitored. Guidance was in place for staff on how to support people with these risks.
Staff promoted people's independence and treated them with dignity and respect. People were involved in making decisions about their care and involved in reviews to ensure their care plans met their needs and supported them to achieve outcomes. Staff supported some people to access the community.
People’s needs were comprehensively assessed before starting with the service; people and their relatives, where appropriate, had been involved in the care planning process.
Staff received the training and support they needed to carry out their roles effectively and received regular supervisions, competency checks and appraisals; staff we spoke with confirmed this.
People’s care plans were person-centred and provided staff with the information they needed to provide care and support in a way that met people’s needs and preferences.
The service had an open and supportive culture. Systems were in place to monitor the quality and safety of care delivered. There was evidence of improvement and learning from any actions identified.
The registered manager followed governance systems which provided effective oversight and monitoring of the service. These governance systems and processes were robust and identified areas of the service where improvements were needed.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People’s choice, control and independence was maximised; care was person-centred and promoted dignity and human rights.
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 Requires Improvement (published 26 February 2020) and there were no breaches of regulation.
Why we inspected
This was a planned inspection based on the previous rating. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Citibase Salford Keys on our website at www.cqc.org.uk.
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.
Citibase Salford Quays (known as Key Care and Support) is a domiciliary care service, which provides support for both children and adults in the community, who require assistance with personal or nursing care. At the time of this inspection two adults were receiving personal care provided by Key Care.
Key Care also provides short term staff to other organisations. This part of the service does not come under the CQC regulatory activities and so did not form part of this inspection.
People’s experience of using this service and what we found
Relatives were positive about the care and support provided by Key Care. Staff knew people’s needs and were caring. People had a stable staff team to support them and support shifts were always covered.
A new operations manager was in post. They planned to introduce regular staff supervisions and spot checks. A document to prompt discussion of people’s wishes for their end of life care had been written. Audits of medicine administration records were to be recorded. The provider was also due to record the checks they made when they visited the service. We will check these have all been implemented at our next inspection. Incidents report forms were available in case of any incidents, which would be reviewed by the operations manager.
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; however, the systems in the service did not support this practice. Changes were made to the pre-admission assessment during our inspection to record any capacity assessments and best interest decisions undertaken by the local authority or Clinical Commissioning Group. A capacity assessment form had been written but not yet used.
Care plans and risk assessments were in place to identify the support people wanted. People and relatives were involved in agreeing and reviewing their care plans. People were supported to meet their health and nutritional needs and received their medicines as prescribed.
The pre-admission assessment had been reviewed to ensure full details of people’s needs were established. Any specific training staff would require to meet people’s needs was completed prior to the support starting.
Staff said they felt well supported and were able to contact the operations manager or on call manager at any time. The training required for each person had been reviewed so staff had the skills to meet each individual’s specific needs.
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 18 July 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We also met with the provider to discuss these action plans.
Since this rating was awarded the service has moved premises. We have used the previous rating and enforcement action taken to inform our planning and decisions about the rating at this inspection.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The last rating for this service was requires improvement (published 18 July 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two inspections.
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.