11 March 2020
During a routine inspection
Care-Nursing Alliance Recruitment is a domiciliary care service that provides personal care and support to people living in their own homes. This includes people who require 24-hour care and support. The service provided support to people living in Gloucestershire. The service was known know as accomplish by people, their representatives and staff. The provider took over the service in 2018. The manager was in the process of reviewing the registration for the services, however ensured that people and their relatives knew the name the service was registered with to CQC. In the last 12 months the manager had worked to combine the service with another service operated by the provider. This is to ensure systems and processes were in line with the providers systems. The service supported one person at the time of the inspection.
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 were safe when receiving support from staff. Staff understood people’s risks and had the support and knowledge they required to keep people safe. People received the support they needed with their prescribed medicines. Staff followed infection control practices and ensured people’s premises were suitable.
Staff received appropriate training which supported them to carry out their role. Staff received the support, training and encouragement they required to develop professionally and meet people’s needs. Staff told us the management were approachable and responsive to their requests. Staff supported people with their food and drink and were aware of their risks.
People’s relatives told us staff were kind and compassionate. 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. Staff understood people’s needs and what was important for them.
The manager acted on incidents or concerns to ensure people received care which was safe and responsive to their needs. Staff were trained in safeguarding people and protecting them from harm. Any concerns or accidents were reported and acted on.
The manager and provider monitored the delivery of care and support people received. Quality assurance systems were operated to monitor and improve the quality of the service being delivered. The service worked with healthcare professionals to ensure people’s needs were maintained and they received safe and effective care in their own homes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Outstanding (published 16 September 2017). At this inspection, we found the service was now Good.
Why we inspected
This was a planned inspection based on the previous rating of “Outstanding”.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.