Background to this inspection
Updated
6 July 2021
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider 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. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 15 June 2021 and ended on 16 June 2021. We visited the office location on 15 June 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the registered manager, assistant manager and three care workers.
We reviewed a range of records. This included four people’s care records and three medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found
Updated
6 July 2021
About the service
Guarantee Care Services is a domiciliary care service providing personal care to people living in their own homes. At the time of the inspection the service was supporting 8 people with a variety of health needs and some people living with dementia.
People’s experience of using this service and what we found
People told us they felt safe with the staff and knew who to go to if they had any concerns. Staff received safeguarding training and were aware of how to report a safeguarding concern.
Risks to people were assessed and care was planned to reduce risks to people. Staff knew people well and regular reviews were carried out to identify any changes in peoples needs.
There were enough staff to support people. People had regular staff who cared for them and they arrived on time and knew people well. People were supported with their medicines appropriately by trained staff. Good infection prevention and control procedures were in place and staff knew how to follow these.
Lessons were learnt and shared with the team. Accidents and incidents were monitored, and actions were recorded. People knew how to make a complaint and actions taken following any complaints were recorded.
Assessments were carried out by the registered manager prior to care being provided. These were detailed and personalised. Staff were aware of people’s needs and received appropriate training to support them.
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 told us staff were kind and caring. Care plans and daily records were written in a kind manner and the management team demonstrated a caring attitude. People and their families were involved in care plan reviews and the service actively sought feedback from people about the care they received.
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 inspected but not rated (published 22 October 2019) this was due to a lack of evidence to provide a rating. At this inspection we found enough evidence to provide a rating.
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Guarantee Care Services 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 re-inspection programme. If we receive any concerning information we may inspect sooner.