About the service This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community in Launceston and the surrounding areas. The packages of care provided range from short visits at key times of the day to 24-hour care dependant on the person's care needs. At the time of the inspection the service was supporting approximately 35 people.
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.
People’s experience of using this service and what we found.
People using the service consistently told us they felt safe and that staff were caring and respectful and had developed positive caring relationships with them. Their comments included, "I can't fault one of them", "There isn't one of them that I wouldn’t say I wouldn’t want to come back" and “They [staff] look at me and can tell if I'm not well as I get a lot of pain - the carers know me well.”
Relative were also complementary of the service and the quality of support it provided. Comments included “[Staff] are very kind and caring and we have absolutely, no complaints whatsoever” and “Complete Care have been absolutely fantastic, they’ve been a lifesaver to all of us."
People and their relatives knew how to make complaints; and felt confident that these would be listened to and acted upon in an open and transparent way, as an opportunity to improve the service.
People received person centred care and support based on their individual needs and preferences. Staff were aware of people's life history, and their communication needs. They used this information to develop positive, meaningful relationships with people.
People and their relatives were involved in the development and review of care plans and told us these documents were accurate and up to date. They included clear guidance on the support required during each visit.
People told us they felt well cared for by staff and encouraged them to maintain relationships and keep their independence for as long as possible.
Staff were respectful of the fact they were working in people's homes. The service offered flexible support to people and were able to adapt in order to meet people's needs and support them as they wanted.
Staff were recruited in a safe way, there were enough staff to meet people's current needs. Staff were supported by a system of induction, training and supervision to ensure they were effective in their role.
The service’s rotas were well organised and there were enough staff available to provide all planned care visits. A mobile phone call monitoring application was used to ensure all visits were provided and to share information securely with staff. No one reported having experienced a missed care visit.
Risks had been assessed and staff were provided with guidance on how to manage and mitigate risks while providing support. The service had appropriate procedures in place during periods of adverse weather.
People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.
Where people lacked capacity, staff worked with the local authority to make sure they minimised any restrictions on people’s freedom for their safety and wellbeing.
Staff spoke positively about working for the provider. They felt well supported and said they could talk to management at any time. Staff were motivated, felt valued and were happy in their work. Staff said, “I can confidently say it is the best place to work. Both [registered manger] and [training and recruitment manager] have given me unconditional support throughout my work” and “[Registered manager] sets a very high standard and we all follow gladly. The high respect I have for [registered manager] motivates me to work very hard to keep the reputation of the company spotless.”
Management roles were clearly defined and there were effective quality assurance processes in place. People were complimentary of the service and relatives told us, “Out of all my experience of care this is the best one."
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 December 2018 and this is the first inspection.
Why we inspected
This was the first planned comprehensive inspection of the service.
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.