Background to this inspection
Updated
23 May 2020
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 Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 16 March 2020 and ended on 17 March 2020. We visited the office location on 16 March 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the relatives of two people who used the service. We spoke with three members of staff including the registered manager, a senior care workers and a care workers.
We reviewed a range of records. This included two people’s care records. We reviewed a variety of records relating to the management of the service, including policies and procedures.
Updated
23 May 2020
About the service
County Care Independent Living Ltd (Lincolnshire Office) is a domiciliary care service providing personal care to children and adults who have a learning disability or mental health condition. The service provides care to people living around Skegness, Boston, Spalding and Holbeach.
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. The service was providing personal care to four people at the time of the inspection.
People’s experience of using this service and what we found
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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.
There were enough staff to meet people’s needs and calls were completed on time. Staff were kind and caring and put people’s needs at the centre of the service. The care provided ensured people’s emotional needs were supported as well as their physical needs. Staff supported people’s privacy and dignity and helped people to become independent in caring for themselves.
Staff received the training and support needed to ensure the care they provided was safe and effective. This included training on how to support people with their medicines and how to keep people safe from the risk of infection. Staff understood the different type of abuse and were confident to raise concerns.
Care plans contained all the information staff needed to provide safe care. Risks were assessed using good practice guidance and where needed equipment was available to keep people safe. Care plans contained detailed information about people’s likes and dislikes and this enabled staff to provide care which supported people’s individual needs. Care plans noted when people needed help and support to communicate.
There were systems in place to monitor the quality of care people received and these had been effective in ensuring people received good quality care. People were offered opportunities to feedback their views on the care they received, and the registered manager took account of these views when reviewing how care was provided. No complaints had been received since our last inspection.
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 24 October 2018).
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.