CK2Care Ltd

Updated 25 June 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

This inspection was carried out by two inspectors and one Expert by Experience. 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

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 a registered manager in post.

Notice of inspection

We gave a short period 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 26 May 2022 and ended on 10 June 2022. We visited the location’s office on 1 June 2022.

What we did before the inspection

We reviewed information we had received about the service. We used information gathered as part of monitoring activity that took place on 18 March 2022 to help plan the inspection and inform our judgements. 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 spoke with five people who used the service, and five people’s relatives about their experience of the care provided. We spoke with 13 members of staff including the registered manager, team leader, administrator and care workers. We reviewed a range of records. This included three people’s care records, two staff files, medicines records and a range of policies, procedures and audits.

Updated 25 June 2022

About the service

CK2Care is a home care agency providing personal care to people living in their own homes. The service provides support to people living with dementia, people with physical disabilities, mental health conditions and sensory impairments. At the time of our inspection there were 40 people using the service.

People’s experience of using this service and what we found

Checks were carried out as part of staff recruitment, but some improvements were required. We have made a recommendation about recruitment practice. People and their relatives told us they felt safe. Staff were trained in safeguarding and knew how to report any concerns. Systems and processes were in place to safely manage and learn from any incidents. People received their medicines as prescribed. Infection prevention and control measures were effective.

People received an assessment of their needs and preferences and were supported by staff who knew them well. Staff received an induction, training, shadowing and supervisions. Support was provided to ensure people had enough to eat and drink. Proactive steps were taken to ensure people could access healthcare support. Staff understood how to give people choices and seek consent.

Staff were extremely caring and empathetic, with genuine relationships of trust built over time. There was a person-centred culture with compassion and kindness at the forefront. People were treated with dignity and respect, and their human rights upheld. Staff could signpost people to support networks for advocacy and information. Systems for managing visits ensured staff had time to provide a consistently caring service. People could depend on staff arriving as agreed, and this supported their independence.

Care was planned with people and their relatives to meet their preferences and needs. The service regularly monitored and anticipated people’s changing needs and responded in turn. Staff proactively supported people to maintain their interests, reducing the risk of social isolation. People told us they did not have cause to complain but were confident the provider would respond appropriately if they did. The service supported people reaching the end of their lives with sensitivity and dignity.

There was an open, inclusive and positive culture. Staff felt valued and supported in their roles, able to ask questions and develop their skills and confidence. The registered manager understood the duty of candour and their regulatory responsibilities. A range of checks and audits were carried out. The registered manager told us they were committed to continued refinement, improvement and embedding of systems and processes for governance and oversight. The provider worked with other health and social care professionals effectively.

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

This service was registered with us on 10 March 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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.