Background to this inspection
Updated
3 August 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
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post. However, the person managing the service had begun the process to register.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 19 May 2002 and ended on 28 June 2022. We visited the location’s office on 19 May.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We visited the location’s office and spoke with the manager, two office staff and three carers. We discussed the service in detail with the manager and reviewed three staff files in relation to recruitment, training and supervision. We also looked at a range of records related to the management of the service.
Following our visit to the office, we contacted six people who used the service and their relatives to gather their views of the service. We reviewed care records for six people and reviewed a range of records related to the management of the service.
Updated
3 August 2022
About the service
Care Solutions Fylde provides personal care to people in their own homes, in and around the Blackpool area. Not everyone who used the service received personal care. CQC only inspects where people receive a regulated activity. 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 our inspection 59 people were receiving personal care.
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.
People felt safe and were protected against the risk of abuse. Where people were supported to take their medicines, staff did so safely. The registered manager used incidents as a learning opportunity and shared learning to improve the safety of the service. Staff were recruited safely and there were enough of them to meet people’s needs. People received support from a consistent team of staff who knew them well.
People’s needs were thoroughly assessed before they received support to ensure they received the support they required. People received care from staff who were trained, competent and well-supported to carry out their role. Staff provided the support people needed with meals and drinks.
People were supported by staff who were kind, considerate and caring. People spoke positively about the staff who supported them and the service as a whole. Staff respected and promoted people’s privacy, dignity and independence. Staff asked people for their views about their care and respected the decisions they made.
The registered manager had developed a positive, person-centred culture within the service. The registered manager and staff team were committed to providing people with high-quality care. The registered manager understood their responsibilities under the duty of candour. The registered manager used feedback and the results of audits to continually improve the service.
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 6 March 2021). 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.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.