All Aspects Health and Social Care

Updated 10 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was undertaken by three adult social care inspectors and 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: All Aspects Health and Social Care is a domiciliary care agency. It provides personal care to both children and adults living in their own homes, including those who have complex care needs. The Care Quality Commission does not regulate premises used for domiciliary care; this inspection looked at people's care and support.

All Aspects Health and Social Care is operated by a sole provider, who is also the manager of the service and who is registered with the Care Quality Commission. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: We gave the service 48 hours’ notice of the inspection visit, because it is a small service and we needed to be sure that someone would be available to provide the information we required.

Inspection site visit activity started on 28 February 2019 and ended on 28 February 2019. We visited the office location on 28 February 2019 to see the manager and office staff; and to review care records and policies and procedures.

What we did: Before our inspection we looked at all the information we held about the service. This included any concerns, investigations or feedback. We also checked the statutory notifications the service is required to send to us by law. We asked for feedback from professionals about their views of the service. We also looked at the Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used a planning tool to collate and analyse all this evidence and information prior to visiting the service.

During our inspection we visited two families in the community, with their agreement. We spoke with seven relatives and five staff members, including the registered manager. We looked at a variety of records. These included five care files, two staff personnel records, audits, policies and procedures and records related to the operation and oversight of the service.

Updated 10 April 2019

About the service: All Aspects Health and Social Care is a domiciliary care service, which provides support for both children and adults in the community, who require assistance with personal care, including those with complex care needs. At the time of our inspection there were 43 people who used the service.

People’s experience of using this service: Everyone we spoke with provided us with very positive comments about the quality of service and the standard of the staff team. Systems to act on allegations of abuse were in place. A wide range of risk assessments had been developed and potential risks were being managed well.

A system was in place for the reporting and recording of accidents and incidents, should it be necessary. Staff had received training in medication awareness and guidance for staff was available. Staff were recruited safely.

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's needs and choices were assessed and their care and support was delivered to achieve effective outcomes. Staff engaged with people and we were told care workers were kind and caring. Positive feedback was provided by people we spoke with.

New staff received an in-depth induction programme and a broad range of training had been completed by all staff, who were regularly supervised and observed at work.

Computerised support plans had been developed, which were detailed and person-centred documents. They reflected people’s assessed needs well and had been reviewed regularly. Any changes in need had been recorded well. Daily activities were highlighted and monitored by the management team through an innovative digital computerised system.

Systems were in place for the management of complaints. However, none had been received, but people told us they would know how to make a complain, should the need arise. Everyone we spoke with provided us with very positive comments about the quality of service provided and the staff team. Audits had taken place and feedback was regularly obtained from those who used the service and their relatives. Regular team meetings had been conducted and staff members felt able to approach the managers with any concerns, should they need to do so.

Rating at last inspection: This was the first inspection of this service since registration.

Why we inspected: This was a scheduled inspection.

Follow up: The service will be re-inspected as per our inspection programme. We will continue to monitor any information we receive about the service. We may bring the next inspection forward if we receive any concerning information.

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