9 April 2019
During a routine inspection
Clearwater Care Group is a domiciliary care agency that provides personal care and support to people with learning disabilities and one older person. At the time of our inspection the service provided personal care to 11 people living in their own homes, some of which were houses of multiple-occupancy in Peterborough, Worcestershire and Staffordshire. The size of the properties meets current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life. The service’s office was in Peterborough.
Not everyone using Clearwater Care Group receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service:
Staff did not always follow the provider’s policy to make sure they only employed staff once they were satisfied of their suitability to work with people who used the service. There were enough staff to meet people’s needs safely. Managers reviewed staffing levels and people needs regularly. Staff worked well together to ensure people were safe and well cared for. They knew the people they cared for well and understood, and met, their needs.
People were protected from avoidable harm by a staff team trained and confident to recognise and report any concerns. Staff assessed and minimised any potential risks to people. Staff followed the provider’s procedures to prevent the spread of infection and reduce the risk of cross contamination. The provider had systems in place to enable staff to safely manage people’s medicines.
People received care from staff who were trained and supported to meet people’s assessed needs. Staff supported people to have enough to eat and drink and maintain a healthy weight. They worked well with external professionals to support people to keep well.
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 supported this practice. People were involved in making decisions about their care and support. Where people needed additional support to make decisions, staff had referred people to external advocates.
Staff supported people in a sensitive and friendly way. One person told us, “You can have a good banter with the staff here. They’re the best staff you could wish for. They are down to earth.” Staff were respectful when they spoke with, and about, people. They supported people to develop their independence.
Support was person centred and met each person’s specific needs. People and their relatives were involved in their, or their family member's, care reviews. People’s care plans were in the process of being completely revised to ensure they were up-to-date, and more individualised. People’s needs were constantly reviewed, and support adapted as required. Staff encouraged and enabled people to be as active as possible and pursue their interests. People and their families felt able to raise concerns which the provider addressed. The provider had systems in place, including a complaints procedure, to deal with any concerns or complaints.
Four companies had merged in the last 12 months, leading to positive changes in the way people’s care and support was managed. The provider promoted a culture that focused on people as individuals. The provider had put robust systems in place to effectively monitor the service and bring about further improvement.
Rating at last inspection:
At the last inspection we gave the service a rating of good (published 12 October 2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence 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.
More information is in the detailed findings below.