Mary Personal Care Ltd

Updated 12 May 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service provides care and support to people living in 'supported living' settings, so that they can 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; this inspection looked at people's personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was to ensure that the provider/registered manager would be in the office to support the inspection.

Inspection activity started on 15 March 2023 and ended on 20 April 2023. We visited the location’s office on 15 March 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and a care worker. We reviewed 2 staff recruitment files and policies and procedures. We spoke to 2 relatives about people’s experience of using the service. We also viewed 2 people's care records, including care plans, risk assessments and daily notes. We reviewed training records for staff. We also reviewed quality assurance documents in relation to the management of the service.

Updated 12 May 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Mary Personal Care Ltd is a domiciliary care service providing personal care to people who live in their own home. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection there was 1 person receiving personal care as part of a sub-contractual arrangement.

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

Right support

People were supported by staff who knew them well and who promoted their independence.

People were fully involved in making decisions about the support they received.

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.

Right Care

People received warm and compassionate support and developed trusting relationships with staff. We have made a recommendation about recording staff supervision. Support was personalised and promoted people's individuality and human rights. Care plans reflected people's care needs. Staff were trained and understood how to support people to stay safe from harm or abuse.

Right culture

The ethos, values, attitudes and behaviours of managers and staff ensured people led confident, inclusive and empowered lives. Staff promoted equality and diversity when supporting people.

There were systems in place to monitor the quality of the services provided and a culture of improvement was embedded in the service.

People and staff had opportunities to give feedback about the service and contribute their ideas for improvement. They felt listened to and were confident that any issues would be resolved in the right way.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 28 January 2020) as the provider was in breach of Section 33 of the Health and Social Care Act 2008. The service did not have a registered manager and had not taken action to recruit one. At this inspection we found the provider was no longer in breach of Section 33

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.