About the service Chosen Services UK Limited is a domiciliary care agency. It provides personal care to people living in their own houses or flats. The service provided support to children, younger adults and older people with learning disabilities, physical disabilities, mental health needs and sensory impairment. 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. At the time of the inspection 12 people were using the service.
People’s experience of the service and what we found.
At this inspection we found the provider’s medicine policy did not reflect the needs of people who are using the service, and, medicine administration record (MAR) charts were inconsistent. We made recommendations in these areas.
People received support with their medicines from staff who were trained.
There were enough staff to meet people’s needs.
There were procedures in place for responding to accidents and incidents.
The registered manager knew when to notify the Care Quality Commission of significant events in the service.
People described staff as, "Professional and kind."
Telephone monitoring surveys were in place to monitor the running of the service.
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 this service was good (published 01 June 2020)
Why we inspected
We undertook this targeted inspection to check a specific concern we had about medicine management. A decision was made for us to inspect and examine those risks. The inspection was prompted in part by notification of a specific incident, following which a person using the service died. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident.
We found no evidence during this inspection that people were at risk of harm from this concern.
The overall rating for the service has not changed following this targeted inspection and remains good.
CQC have introduced targeted inspections to follow up on specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ links for Chosen Services UK Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.