About the service: Allcare Services and Training Limited is a domiciliary care agency. It provides personal care to adults living in their own houses and flats in the community. At the time of the inspection five people received personal care support from the service. The office is based in Bromyard Herefordshire. The service provides care and support varying from day visits to overnight support.People’s experience of using this service:
Relatives told us family members were made safe by the care they received. Staff told us they had appropriate training, knowledge and support to keep people safe. Staff could tell us how they managed risk and behaviours that challenge while respecting the person and supporting their dignity.
Relatives felt confident in the management, they told us there was a caring culture within the service and staffing levels were appropriate. Relatives said it was beneficial the registered manager worked alongside staff delivering care.
We looked at how the management team planned their rotas. Staff were given travelling time between visits. The company director told us because the service was small it was easy to have clear oversight of the care delivered.
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.
Care plans had been developed with people and their relatives being involved throughout the process. These were reviewed to reflect people’s current needs. The guidelines were comprehensive showing staff clearly what support was required. The management of risk was included within the care plan to minimise the likelihood of preventable harm occurring.
Staff files we looked at showed the registered manager used the same safe recruitment procedures we found at our last inspection. Staff told us training was ongoing and they received refresher training each year to update their knowledge.
There was a complaints procedure which was made available to people and their families. People we spoke with told us they had not made a formal complaint and were happy with the support they received. The service continued to have good oversight of relevant procedures through monitoring and auditing to ensure people received effective support and the service was well led.
The registered manager used a variety of methods to assess and monitor the quality of the service. These included questionnaires to seek their views about the service provided.
The service engaged with outside agencies, health and social care professionals to ensure people received timely healthcare support.
Rating at last inspection: Good (Report published 25 August 2016)
Why we inspected:
This was a planned inspection based on the rating at the last inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any issues or concerns are identified, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk