23 May 2023
During an inspection looking at part of the service
Kris Carers Ltd is a domiciliary care agency which provides personal care and support to people in their own homes. At the time of our inspection there were 42 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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support:
People and relatives were mostly satisfied with the service, and some said it had improved. The provider had new systems in place to check the care and support provided was of good quality. Some changes were needed to the service’s registered service user bands to ensure people’s needs could always be met.
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.
Right Care:
Staff provided safe care and knew how to protect people from harm. They followed people’s care plans and risk assessments which were personalised. Some improvements were needed to medicines records.
People and relatives made many positive comments about the caring nature of the staff. Staff were safely recruited. They told us they enjoyed working for the service and were well-supported by the registered manager and other senior staff.
Right Culture:
People and relatives said managers and staff listened to them and made changes where necessary. They had the opportunity to complete quality assurance surveys which were used to 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 Inadequate (published 28 November 2022). At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 28 November 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as Inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We carried out an announced comprehensive inspection of this service on 11, 12 and 26 October 2022. Breaches of legal requirements were found and a Warning Notice served in relation to Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We undertook this focused inspection to confirm the provider now met legal requirements.
This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kris Carers Ltd on our website at www.cqc.org.uk
We will continue to monitor information we receive about the service, which will help inform when we next inspect.