About the service C.L.C.A Company Limited is a domiciliary care service providing personal and nursing care to 18 people at the time of the inspection. The service supports children and adults with nursing care in their own homes. People have significant health conditions, long-term illnesses and complex nursing needs, such as tracheostomy and ventilation care, neurological and spinal injury.
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 supported by staff who were exceptionally kind and caring. Staff were committed to ensuring people experienced high quality care. People’s care often exceeded their expectations and helped them to fulfil their goals. Staff respected people’s privacy and dignity.
The provider tailored staff training to meet the individual needs of each person who used the service. The provider fully understood people's individual needs and ensured staff delivered their care in a way that met those needs. The provider and staff went the extra mile to give people opportunities to live as full a life as possible.
The whole service had an exceptionally strong person-centred culture. People felt in control of their own care, listened to and their opinions valued. There was strong leadership and staff at all levels followed the ethos of the service. The provider ensured people were equal partners in their care and supported them to experience and achieve positive outcomes. The provider’s governance systems ensured high quality care was delivered and people received safe care and treatment.
People were supported by enough staff to safely meet their needs. Staff were aware of the risks to people and supported them in a way which minimised those risks. Staff understood how to keep people protected from the risk of abuse and avoidable harm. They were confident to report any concerns they may have about people's safely. People’s medicines were managed safely and good infection control practices were used by staff.
People were supported by well trained staff. People were supported to maintain good health and had access to healthcare services. Staff worked with a range of health professionals to ensure they knew and could support people's care needs. People were supported to maintain good nutrition.
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.
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 good (published 17 August 2017). Since this rating was awarded the service has moved premises. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
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.