About the service All Care In One Ltd is registered to provide personal care to people within their own homes and in a supported living setting. On the day of the inspection 61 people were being supported within their own homes.
Everyone who used the service received the regulated activity of ‘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
Systems and processes were in place to keep people safe, risks were assessed and managed with regular reviews to ensure they met people’s needs. Staff were experienced and knowledgeable and the number of staff was sufficient to meet people's needs. Staff were aware of the infection control procedures the provider had in place. Incidents and accidents were monitored, and lessons were learned when things went wrong.
People’s needs and choices were assessed and care was reviewed regularly. Care plans identified the involvement of people in the care they received. Staff received regular training in relation to the needs of the people they supported and were able to request refresher training and additional training as needed. People were also supported to attend regular appointments and access therapeutic activities to promote healthier lives. Where required people were supported to eat healthy and maintain fluids.
Care was person-centred with people's privacy, dignity and equality maintained. People were involved in their care and supported to express their views and maintain their identity. The staff made every effort to get to know people and understand what was important to them.
Care was personalised, and people were supported to effectively communicate their needs and preferences. Complaints were recorded and effectively managed in line with the providers policy and procedures. While no-one was receiving end of life care there were end of life care plans in place.
Quality assurance systems were robust with spot checks and staff competency checks completed regularly. The registered manager understood their legal responsibilities in regard to safeguarding and notifications. The provider worked with other professionals such as district nurses and GP's to ensure care needs were met.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.