Crown46 Client Care

Updated 22 February 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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

In line with our new approach we gave a short period of notice of this inspection and explained what was involved under the new methodology.

Inspection activity started on 2 February and ended on 3 February 2023.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 16 December 2022 to help plan the inspection and inform our judgements. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and received feedback from the person receiving care. We viewed records relating to the person’s care, staff recruitment, staff training and the management of the service.

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation.

Updated 22 February 2023

About the service

Crown46 Client Care is a domiciliary care agency providing personal care support to people in their own homes. At the time of our inspection they were supporting one older person with their personal care. 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 received safe care that met their needs. 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. Staff spoke with people and involved them in the assessment and development of their care and support plans. Where required, staff were able to support people with their medicines, meals and healthcare needs.

People received kind and compassionate care, that respected their privacy and dignity. Staff enabled people to remain as independent as possible. Staff were respectful of people’s individual differences and any support needs they had regarding their culture, heritage and religious preferences.

People were supported by staff that had the knowledge and skills to undertake their duties. Staff completed a programme of training to ensure they stayed up to date with best practice. Continuous recruitment was in place to ensure suitable staff were employed to support any expansion of the business.

There was a comprehensive system in place to support review of the quality and safety of care delivery. This included monitoring the completion of care records, staffing requirements and obtaining feedback from people about their experiences of care.

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 1 April 2022 and this is the first inspection.

Why we inspected

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.