Caring Care Limited

Updated 13 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This site inspection took place on 31 July 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available to support the inspection.

The inspection was carried out by an inspector and telephone calls were made to people and their relatives by an Expert by Experience. An Expert by Experience is a person who has had experience of using or caring for someone who uses this type of care service.

As part of the inspection process we looked at information we held about the provider. Providers are required to notify CQC about specific events and incidents that occur including serious injuries to people receiving care and any incidents that put people at risk of harm. We refer to these as notifications. We looked at these to plan our inspection. We also used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We visited the office location on 31 July 2018 to see the registered manager and office staff; and to review care records and policies and procedures. We looked at four care records and three staff files. Telephone calls were made to people, their relatives and staff on 27 July 2018. We spoke with five people who use the service and six relatives. We also spoke with ten members of staff, the registered manager and office staff.

Updated 13 September 2018

We carried out this announced site inspection on 31 July 2018. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. Not everyone using Caring Care Limited receives a 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 take into account any wider social care provided.

This is the first time this service has been rated. At the time of our inspection, 60 people were supported with their personal care needs by the service. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and staff understood how to protect people from harm or abuse. Risk assessments and guidance were in place to ensure specific risks were identified and managed safely. There were sufficient numbers of safely recruited staff to support people who used the service. Where people received medicines, staff were trained to administer these and made sure people had their medicines on time and when they needed them.

Staff had the skills and knowledge to meet people’s needs. People's human rights were protected because the registered manager and staff understood the Mental Capacity Act 2005 (MCA). People told us staff supported them to meet their healthcare needs when required. Staff also supported people to meet their nutritional needs.

People received care from staff that knew them well and were consistent in their approach to care. People told us staff were kind and caring and sought their consent before providing care. People told us they were treated with dignity and respect and were involved in how their care was planned. Staff promoted people’s independence. People had information in their homes about how to make a complaint should they wish to do so. People had regular contact with the provider to share their views about the standard of care received.

People and staff said the registered manager was approachable and the service was well-run. Staff were aware of their roles and responsibilities and felt supported by the management team. The registered manager told us they kept their knowledge current and provided staff with direction about levels of care they expected with supervisions and regular meetings. The registered manager and management team monitored the quality of the care that people received, which included observing staff practice and reviewing records.