12 November 2019
During a routine inspection
Cambridge Care Company – Haverhill is a domiciliary care service providing personal care to 39 people living in their own homes and five people with a learning disability who live in two supported living environments. At the time of the inspection there were 44 people who used the service.
People’s experience of using this service and what we found
Since our last inspection, improvements had been made to address the previous shortfalls. This involved making changes to governance and oversight arrangements, implementation of systems and processes to safely assess and manage risks to people, including with their medicines and with the co-ordination of people’s visits. These need to be sustained, maintained and fully embedded into the culture of the service.
Risks to people were assessed and mitigated, which reduced the risks of avoidable harm. Staff were knowledgeable about people’s risks and how to care for them safely. They understood how to protect and safeguard people and demonstrated a transparent attitude to reporting concerns.
Where people required support with their medicines, this was done safely. Infection control processes protected people from the risks of cross infection. There were enough staff safely recruited to cover the planned visits to people.
People received care and support from staff who were trained and supported appropriately. Where people required support with their dietary needs and health, this was provided effectively. 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.
People were cared for and supported by caring and compassionate staff. People’s rights to independence, dignity and privacy were promoted and respected. People’s views and choices were valued and used to plan their care. This included people’s end of life decisions.
The provider had systems to monitor the quality and safety of the care provided. People were asked for their views and their feedback used to improve the service and make any necessary changes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was requires improvement (published 19 September 2018) and there were multiple breaches 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 regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk