Liznett Care Services Limited

Updated 7 July 2022

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

A single inspector carried out this inspection. They were supported by an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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.

Inspection activity started on 16 May 2022 and ended on 18 May 2022. We visited the location’s office on 17 May 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. 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. We used all this information to plan our inspection.

During the inspection

We spoke with ten people using the service and three relatives about their experience of the care provided. We spoke with three care staff, the office administrator, a care coordinator and the registered manager. We reviewed a range of records. These included five people’s care records, staff files in relation to recruitment and training and a variety of records relating to the management of the service, including the quality monitoring systems and audits.

Updated 7 July 2022

About the service

Bexley (Liznett Care Services Ltd) is a domiciliary care agency that provides personal care to people in their own homes. 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. They were providing personal care to 34 people at the time of the inspection.

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

There were safeguarding adults’ procedures in place and the registered manager and staff had a clear understanding of these procedures. Risks to people were assessed and staff were aware of the action to take to minimise risks where they were identified. People received support from staff to take their medicines safely. Robust recruitment checks were carried out before staff started work and there were enough staff to meet people’s care needs. The provider and staff were following government guidance in relation to infection prevention and control. Staff had received training on COVID 19 and the use of personal protective equipment (PPE).

Staff received training and support relevant to people’s needs. People’s care needs were assessed before they started using the service and care plans were in place to ensure staff could support them safely. Where required people received support from staff to maintain a balanced diet. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People using the service told us they were treated in a caring and respectful manner and they were consulted about their care needs. They knew how to make a complaint if they were unhappy with the service. People had access to end of life care and support if it was required.

There were effective systems in place to monitor the quality of service that people received. Staff said they received good support from the registered manager, care coordinator and office administrator. The registered manager took people and their relatives views into account through satisfaction surveys and any feedback they received was used to improve the service. The registered manager and staff worked with health care providers to plan and deliver an effective service. The service had a business continuity plan in place that made provisions for safe care in the event of an emergency.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was requires improvement (published 14 August 2019) and there were breaches of our regulations.

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 regulations.

Why we inspected

This was a planned inspection to assess if the provider was complying with our regulations.

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.