We carried out a review of the data available to us about Advanced Medcare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Advanced Medcare, you can give feedback on this service.
Advanced Medcare is a domiciliary care agency providing personal care to adults living in their own homes. 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. During our inspection visit, the service was caring for 28 people.
People’s experience of using this service and what we found
People and their relatives were overwhelmingly positive about staff and told us the service made them feel safe, promoted their independence and had a positive impact in their lives. One person told us, “Changing to Advanced [Medcare] was the best thing I ever did.” However, during this inspection, we found some aspects of the service had not always been managed safely.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Risks to people's care were assessed and actions put in place to manage them. Incidents were analysed and actions taken, when required. The provider was not always recording when equipment used to move people had passed the relevant safety checks. Most areas of staff recruitment were safe, however, we reviewed evidence confirming some staff had started working before the required DBS checks had been completed. Medication was managed safely.
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 received support to maintain good nutrition and hydration and their healthcare needs were understood and met. The provider kept in close contact with relevant healthcare professionals.
The provider was caring for people with complex health conditions and some required end of life care. Care plans were detailed, and person centred. Staff knew people well and had the necessary skills, training and support to carrying out their jobs safely.
The service had not received any complaints. People and family members were confident that any concerns or complaints would be listened to and acted upon quickly by the registered manager.
We received very positive feedback about the registered manager being approachable and responsive. There was a clear vision about the quality of care the provided. The registered manager and nominated individual told us about their plans to further develop the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
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 October 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.