Care Designed For You

Updated 31 August 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 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 homes.

Notice of inspection

We gave 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection. Inspection activity started and finished on 12 July 2019, when we visited the office location.

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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

People who used the service were unable to provide us with verbal feedback. We spoke with the provider who is the registered manager, a director and three support staff. We looked at two people's care records in full and their daily care records. We looked at four staff's recruitment, induction, training and supervision records as well as other records relating to the management of the service.

After the inspection

We received feedback from relatives of two people and a local authority member of staff.

Updated 31 August 2019

About the service

Care Designed for You Ltd is a domiciliary care service providing care and support to older people and younger adults, as well as people who may be living with learning disabilities or autistic spectrum disorder, dementia, sensory impairment, or a physical disability.

Not everyone using the service receives regulated activity; the Care Quality Commission (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 consider any wider social care provided. At the time of our inspection, two people were being supported with personal care.

People’s experience of using this service and what we found

People’s relatives gave feedback to us on behalf of their family member because of the communication needs their family member had. People continued to receive a good service. They were safe from harm. Systems and appropriately recruited staff supported this. People’s risks were safely managed. Sufficient numbers of staff were employed to support them in taking risks. People were safely supported with handling medicines and keeping their homes clean.

Staff were trained, skilled and well supported by the provider. People had good relationships with the staff who protected their rights to lead a normal life. 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.

We have made a recommendation about records of people's capacity being included in their care records.

Feedback from people in surveys was that staff were kind and caring. People were respected, staff championed their privacy and dignity and encouraged their independence in all aspects of life.

Staff were motivated to provide person-centred care based on people's choices and preferences. They were dedicated and praised for this by health and social care professionals. People were supported to do the things they wanted to.

People had the benefit of a service that was positive, inclusive and forward-looking. There was a registered manager who maintained checks on how well the service was provided. All records were held electronically and securely. This ensured the confidentiality of people's information.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

Rating at last inspection

This service, under this legal entity, was registered with us on 13 July 2018 and this is the first inspection. The last rating for this service was good (published 25 January 2018). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.