About the service: KC Care and Social Activities is a care at home service which provides personal care and support to older adults. At the time of our inspection there were 20 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
There was a quality monitoring system in place, areas for improvement were identified and staff were informed of any changes that arose from audits. However, there was not always documentary evidence that this had been carried out. The registered manager had identified the shortfalls in documentation and was in the process of implementing a new electronic quality monitoring system, where all audits would be documented with actions. Staff were receiving training to be able to use the new system. This will then need embedding into practice to ensure effective monitoring to continually drive improvements.
We have made a recommendation that the registered manager continues to implement the new electronic quality assurance system and ensure it is embedded into practice.
People told us they felt safe. Staff understood safeguarding and whistleblowing procedures. There were sufficient numbers of staff employed to meet people’s needs. Staff we spoke with also confirmed this. There was a safe recruitment process, which ensured only staff suitable to work with vulnerable adults were employed. Accidents and incidents were monitored, however, documented evidence of lessons learnt was being improved. Risks to people were identified and assessments were in place, which were being reviewed as part of the new electronic care plan records that were being implemented. People were protected by the prevention and control of infection. Medication systems were in place and followed by staff to ensure people received their medicines as prescribed. Some minor documentation issues were identified in regard to medicines. These were addressed by the registered manager following our site visit.
Staff we spoke with were knowledgeable about people needs. Staff had received effective training to ensure their knowledge was up to date. Staff were supervised and supported. People were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice however, documentation to evidence this was being completed at the time of our visit.
People we spoke with told us staff were extremely kind and caring. Relatives we spoke with were positive about the care and support provided. Staff we spoke with understood people’s needs and described how they respected their dignity. One person said, “The carers are nice, kind and pleasant people. They are caring towards me and will do anything that I ask.” Relatives felt listened to and said complaints were appropriately dealt with and resolved. People we spoke with told us their views were listened to and obtained. Feedback from staff was extremely positive about the leadership and support received for them to be able to fulfil their roles and responsibilities.
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 in May 2019 and this is the first rated inspection.
Why we inspected
The inspection was prompted in part due to concerns received about infection prevention and control policies and guidelines which had not been followed, putting people at potential risk. A decision was made for us to inspect and examine those risks.
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.