Background to this inspection
Updated
11 March 2023
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and phone calls to engage with people using the service and staff.
Inspection team
A single 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 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 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 available to support the inspection.
Inspection activity started on 19 January 2023 and ended on 3 February 2023.
What we did before the inspection
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 information gathered as part of monitoring activity that took place on 22 September 2022 to help plan the inspection and inform our judgements.
During the inspection
This performance review and assessment was carried out without a visit to the location’s office. We used electronic file sharing to enable us to review documentation. We spoke to the registered manager who was delivering the care and the nominated individual. We spoke to one person to gain their view about the service.
The nominated individual is responsible for supervising the management of the service.
Updated
11 March 2023
About the service
Adele Care Services Limited is a domiciliary care service that provides care and support to people living in their own houses or flats in the community. At the time of our inspection there was one person using the service. 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
During this inspection, we found improvement was needed in relation to assessing risk. There were systems in place to assess and monitor the quality of the service provided, however were not sufficiently robust to identify the issues found at this inspection.
People and relatives spoke positively about the service and said they felt safe. The service had safeguarding procedures in place to keep people safe. Appropriate recruitment checks had taken place before staff started work and there were enough staff available to meet people’s support needs. The service had adequate procedures in place to reduce the risk of infections. People’s medicines were managed safely.
People’s care and support needs were assessed before they started using the service. Staff were supported through training and regular supervision. 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 were supported to maintain a healthy balanced diet and had access to health care professionals when they needed them.
People's privacy, dignity and independence was promoted. People received person centred care which met their needs and preferences. There was a system in place to manage and respond to complaints. No one at the service was receiving end of life care.
The service would work in partnership with health and social care providers to plan and deliver an effective service. The service took the views of people and their relatives into account to drive improvements.
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 15 December 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Adele Care Services Limited on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to assessing risk. We will continue to monitor the service and will take further action if needed.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment.