We carried out a review of the data available to us about Midland Care Support & Enablement Ltd 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 Midland Care Support & Enablement Ltd, you can give feedback on this service.
Midland Care Support & Enablement Limited is a domiciliary care service that provides personal care to people in their own homes. Not everyone using the service receives a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection, 76 people were using the service.
People’s experience of using this service and what we found
People benefitted from receiving care and support from staff who approached their work with kindness and compassion, and treated people with dignity and respect.
People had comprehensive assessments, care plans and risk assessments which included information about their care and support needs and preferences. Staff were provided with ongoing training to meet people’s diverse needs and understood people's individual needs.
People were supported by staff who had the knowledge to protect them from potential abuse as they knew how to recognise different forms of abuse and how to report this.
Prospective staff underwent pre-employment checks to ensure they were suitable to provide care and support to people who used the service. People were supported by a small team of staff who knew them well and had undertaken an induction to help them understand and feel confident in their caring roles.
People's needs, and wishes were assessed alongside their representatives before their care and support started and; then kept under regular review. 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 and the management team worked with a range of community health and social care professionals to achieve positive outcomes for people. The provider had processes to support people where required with their medicines. People would only require support to take their medicines if this was part of their care service.
People had encouragement and support to carry on with the things they enjoyed doing in line with their support plans. Where required staff also supported and encouraged people to have enough to eat and drink.
People were supported by their relatives who knew how to raise any concerns or complaints with the provider. The registered manager used concerns and or complaints to make improvements to people’s care experiences.
The provider had processes to monitor and improve the quality of the service, there was a culture of openness and of reflection and learning.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Midland Care Support and Enablement Ltd is a community based adult social care service, registered to provide personal care for persons within their own home. They currently provide a service for seven people.
There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Midland Care Support and Enablement Ltd had not previously been inspected, this was their initial rating inspection. Although the provider had been registered with us since October 2015, they had not started to provide a service until December 2016
People were kept safe. Staff had received training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. Staff were provided with sufficient guidance on how to support people’s medical support needs. People were kept safe by staff that were able to recognise the signs of abuse and raise concerns if needed.
People were supported by staff that had been safely recruited. People felt that they were being supported by staff with the appropriate skills and knowledge to care and support them. People were supported with their medication by staff that had received appropriate training.
Staff were trained and supported so that they had the knowledge and skills to enable them to care for people in a way that met their individual needs and preferences. People were supported to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS).
Staff were caring and treated people with dignity and respect. People’s choices and independence was respected and promoted and staff responded to people’s care and support needs.
People and staff felt they could speak with the provider about their worries or concerns and felt they would be listened to and have their concerns addressed.
The provider had quality assurance and audit systems in place to monitor the care and support people received to ensure the service remained consistent and effective. The provider ensured that all policies and procedures were kept up to date with current guidance and legislation.