24 July 2023
During an inspection looking at part of the service
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.
MK Executive Care is registered to provide personal care to people living in supported living settings, to enable people to live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. At the time of this inspection MK Executive Care were not providing personal care to any people living in supported living settings.
People's experience of using this service and what we found
People told us they felt safe with the staff providing their care. Individual risks to people’s safety were assessed and risk assessments were in place for staff to follow.
People’s dependency levels were assessed and enough staff were deployed to meet people's needs. Recruitment systems ensured only suitable staff were employed to work at the service.
People were supported safely with their medicines. Staff received training in the safe administration of medicines and their competency to safely administer medicines was assessed. Staff received training on infection control and followed the procedures to prevent the spread of infections.
People told us they received support from staff they knew and trusted. We received comments such as, "The staff were nice and kind to me," and, "It is a caring service, I’m happy with the staff who come to me; I’m pleased I have them."
People received support to eat and drink enough to maintain a balanced diet.
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 and / or relatives were involved in putting together their care plans. Information was available on people's likes and dislikes, hobbies and interests. This meant staff could engage with people discussing topics that were of interest to them. Records showed care plans were reviewed regularly and updated as people's needs changed.
People's communication needs were identified and described in individual communication support plans.
A complaints policy was available, and records showed complaints were responded to appropriately.
An electronic care monitoring system was embedded into practice and was used to enable the registered manager and the management team to have full oversight over all aspects of the service. The system tracked care calls and created alerts when calls took place outside of the scheduled hours. Routine audits and checks were completed to monitor the quality of the service, such as care plan and medicine record audits, and care visit monitoring.
Feedback was sought from people using the service to identify areas for further improvement. People and relatives spoke positively about the care and support they received from the service.
Notifications were submitted to the Care Quality Commission (CQC) as required by law, without delay, and contained the necessary details. The ratings from the previous inspection were displayed on the provider website and within the office.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned comprehensive inspection based on the previous rating.
Rating at last inspection and update
The last rating for this service was requires improvement (published 08 February 2022).
At the last comprehensive Inspection (published on 29 October 2021) the provider was in breach of regulations 9 and 16 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.