Care Legacy Ltd

Updated 29 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 video or phone calls to engage with people using the service and staff.

Inspection team

One inspector and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Care Legacy Ltd 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 this was a remote inspection 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 9 March 2023 and ended on 17 March 2023.

What we did before the inspection

We reviewed information we had received about the service and sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to the registered manager during the inspection. We also spoke with four staff members, four people who used the service and seven relatives. We reviewed a range of records. This included three peoples care records and multiple medication records. We looked at two staff files in relation to recruitment and supervisions and a variety of records relating to the management of the service. We looked at policies and procedures and quality assurance records. We continued to seek clarification from the provider to validate evidence found.

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation.

Updated 29 March 2023

About the service

Care Legacy Ltd is a domiciliary care service providing personal care to people living in their own homes. At the time of our inspection there were 33 people 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

People received a good standard of care by a staff team who knew them well. Care plans were in place to help guide staff, these were updated regularly and reflected people’s individual preferences.

People received their medication safely as prescribed. Staff received required medicines training and their competency was checked to ensure they continued to follow best practice.

Staff respected people’s dignity and people told us they were kind and caring. One relative told us, “I would recommend them to anyone if they asked me, they are very good.”

People were supported to access the community and take part in activities. The care offered could be flexible, with the registered manager working with families to ensure people could attend their desired events or appointments.

The registered manager worked hard to continually grow and improve the service, taking feedback from staff, people, and their families about how they could develop while maintaining a high standard of care.

People and their relatives gave positive feedback about the service. One person told us, “They are so nice, very kind.” One relative said, “They are fantastic, we’ve had three other care agencies, and this is so much better than anything we have had before.”

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 Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 13 December 2021, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to provide the service with a rating.

Follow up

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 video and phone calls to engage with people using the service as part of this performance review and assessment.