ZNC Care Ltd

Updated 22 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed the information we already held about this service. This included details of its registration, and any notifications of significant incidents the provider had sent us. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 2 members of staff, which included 1 care staff and the registered manager. The registered manager was also the director/owner of the service.

We reviewed a range of records. This included 1 person’s care plan and medicine records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Following our site visit we spoke by telephone with 1 relative about their experience of care. We continued to seek clarification from the provider to validate evidence found.

Updated 22 July 2023

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.

About the service

ZNC Care Ltd is a domiciliary care agency located in the London Borough of Redbridge. It is registered to provide personal care to people in their own homes. At the time of the inspection, 1 person was receiving support with personal care. The service is registered to provide support to people with learning disabilities and or autism spectrum disorder, mental health and younger adults. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where people do receive personal care, we also consider any wider social care provided.

People’s experience of using this service and what we found

Right Support

There were systems in place to keep people safe from abuse. The service supported people through risk assessments to monitor and mitigate risks to them. Staff were recruited safely and there were enough staff working at the service. Medicines were managed safely. Staff were trained in infection prevention and control. There were systems in place to learn from incidents and accidents.

Right Care

People’s needs were assessed so the service could ensure their needs could be met. Staff received an induction, were trained and supervised in their roles. People were supported with eating and drinking if required. Staff recorded care effectively and worked with health and social care professionals to ensure people received good care. 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 did not support this practice.

People’s needs were recorded in care plans which provided person centred information and instructions for staff. People’s communication needs were recorded so staff were able to meet their preferences. People were supported to take part in activities they enjoyed. There had been no complaints about the service but there was a process in place for people and relatives to follow if they needed to raise concerns.

Right culture

Staff were caring; feedback from relatives and quality assurance processes showed this to be the case. People were able to make choices with their care. People were treated with respect and dignity and supported to be independent.

The service was person-centred and placed people at the heart of what they did. Feedback from relatives and staff was positive and systems and processes in place showed the service was well led. People, relatives and staff were able to engage with the service. Quality assurance measures ensured people were provided with good, safe care. The provider worked with other agencies to support people live healthy, safe and fulfilled lives.

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 on 7 February 2022 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture. This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.