Maxxicare Ltd

Updated 29 June 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Maxxicare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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. The registered manager was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Notice of inspection

We gave the service 1 days’ notice of the inspection. This was to allow us to set up the inspection remotely with the provider and to enable the service to securely share information with us electronically. Inspection activity started on 13 February 2023 and ended on 5 May 2023.

What we did before the inspection

We reviewed information we had about the service since they became operational. We used the information the provider sent us in the provider 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 2 people who used the service and 2 relatives of 2 other people. We spoke with the registered manager and communicated electronically with 7 care staff. We looked at a range of management records including, medicines, quality audits and staff training. We reviewed 5 people’s care records including risk assessments and 4 staff recruitment records. The registered manager sent us documentation we asked for and clarified any queries we had.

This performance review and assessment was carried out without a visit to the location’s office. We used phone calls and technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation. Inspection activity started on 13 February 2023 and ended on 5 May 2023.

Updated 29 June 2023

About the service

Maxxicare Ltd is a domiciliary care service providing personal care to people at the end of their life in their own homes. At the time of this inspection, 15 people were receiving a 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.

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

People were safeguarded from the risk of harm or abuse. Staff were recruited safely and there were enough staff on duty to meet people’s needs. People had risk assessments to reduce the risk of harm they may face. People were protected from the risks associated from the spread of infection. Medicines were managed safely. The provider had a system in place to learn lessons from accidents and incidents.

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. Staff asked for consent before delivering care. People had their care needs assessed before beginning to use the service. Staff were supported with training opportunities, supervision and appraisal. People were supported with their nutrition and hydration. Staff supported people with their healthcare needs.

People’s cultural and religious needs were met. Staff were knowledgeable about the people they supported and their care needs. People and relatives were involved in deciding how they wanted their care. Staff promoted people’s privacy, dignity and independence.

Care records were detailed, personalised and outcome based. People’s communication needs were met. Staff supported people with activities where this was part of their care plan. The provider had a system to record and respond to complaints. People’s end of life care wishes were documented so they could receive this type of care in a sensitive manner.

People, relatives and staff spoke positively about the leadership in the service. The provider had regular meetings with the management team and with staff so they could express their views about the service. The provider worked jointly with healthcare professionals and carried out quality checks to improve outcomes for people.

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

Rating at last inspection

The service was registered with us on 22 September 2021 and this is the first inspection.

Why we inspected

We undertook this inspection because they had not been previously inspected.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.