Ash Care Services Ltd is a domiciliary care agency that provides personal care to people in their own homes in Salisbury and Downton. 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
At the last inspection, there were shortfalls in risk management, quality auditing systems and the safe management of medicines. We issued three requirements to ensure the registered manager made improvement in all areas.
At this inspection, medicines were safely managed. Information showed people’s medicines and the instructions for their use. Staff had appropriately signed the medicine administration records to show they had given people their medicines.
Risks to people’s safety had been identified. This included areas such as the environment, fire and the person’s mobility. Staff told us any concerns about a person’s safety would be reported to the registered manager.
Systems to monitor the quality and safety of the service had improved. This included checks of people’s support plans and the daily records. The registered manager undertook people’s support to ensure the expected standard of care delivery was being provided.
There were enough staff to support people although more would be needed if the service expanded.
People’s needs were fully assessed before being offered a service. Their needs and preferences were detailed within a support plan, which they helped to devise and review.
People were happy with their support and received a service that was responsive to their needs.
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 were complimentary about the staff and their rights to privacy, dignity and independence were promoted.
Staff knew people well and established relationships had been built.
Staff undertook a range of training to help them meet the responsibilities of the role they were employed to do.
There was a caring ethos that was adopted throughout the staff team.
Rating at last inspection - The last rating for this service was Requires Improvement. (The report was published on 3 July 2018).
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 regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up: We will monitor all intelligence about the service and complete another inspection in line with this and our frequency of inspection guidance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk