25 April 2023
During an inspection looking at part of 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 and what we found
We received positive views about the service from people and their relatives. One person’s relatives told us: “It has been a great success. [Person] lives on [their] own and would not be able to stay at home. They come four times a day. They have given us lots of ideas and tips which we probably would not have known about. I can’t fault them at all. We are all very happy. I can’t thank them enough for their professionalism and the care they are giving [person].”
People received care which was safe, and staff understood how to support people to maintain their safety. People's medicines were administered safely and as prescribed. The provider checked the suitability of new staff through recruitment processes. Staff used personal protective equipment (PPE) when supporting people to reduce the risk of infection.
People received compassionate care and they felt respected and valued as individuals. Staff exceeded expectations to ensure people's needs were met and they were comfortable and safe. One person’s relative told us: “Everything that is possible to do is done for [person]. If they go to a wedding, they bring [person] a piece of cake. At Christmas [staff] made Christmas dinner for everyone who was on their own.”
The registered manager and management team offered exceptional leadership and had a clear vision about the service. There were robust quality assurance systems in place to ensure people received the best possible service which was person centred to their needs and wishes. The registered manager worked closely with people, their representatives, partner agencies and services and the community to promote best practice within the service and make a positive impact to people's lives.
Rating at last inspection and update
The last rating for this service was requires improvement (published 14 July 2022) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Adelfi Care Services on our website at www.cqc.org.uk.
Why we inspected
We carried out an announced comprehensive inspection of this service on 30 and 31 May 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe recruitment practices.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe 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 requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.