Background to this inspection
Updated
31 January 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector and one expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 visit because senior staff are often out of the office supporting staff or providing care. We needed to be sure that they would be available. The inspection took place on 4 and 5 December 2019. We visited the office location on these dates to see the registered manager and to review care records and policies and procedures.
What we did:
Prior to the inspection we looked at the information we had about the service. This information included the statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return. This is a form that asks the provider to give information about the service, it tells us what the service does well and the improvements they plan to make.
During the inspection we spoke to the registered manager, branch manager, one care coordinator and seven care staff. We looked at eight people’s care records, six staff files and other records relating to the management of the service, including policies and procedures. After the inspection we spoke to 15 people using the service and six relatives and asked them for their views about the service.
Updated
31 January 2020
About the service:
Golden Service Care Limited is a domiciliary care agency. At the time of the inspection they were providing personal care to 63 people in their own homes.
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:
People received an outstanding caring service. Without exception people told us they received very kind and respectful support from staff who promoted their abilities. Staff promoted people's privacy and dignity and enabled them to achieve their goes. People were supported to make choices and have as much control and independence as possible. Staff went above and beyond to ensure people were not lonely and gave up their own time to support people to engage in their hobbies, social and cultural activities.
People told us they felt safe and that staff were kind, supported them in a dignified and respectful manner and maintained their privacy and independence.
People received support from a consistent team of staff who were skilled and competent in providing care and support. Staff and the registered manager showed a genuine interest and passion to deliver personalised care based on people's likes, wishes and preferences.
People were supported in the least restrictive way possible and in their best interests; the policies and systems of the service supported this practice.
Staff knew people well and relatives felt reassured their family members were safe and well cared for. However, some care plans contained limited information relating to people's individual support and care needs.
Communication with health and social care professionals was effective in ensuring people received joined up care. The provider had aims and standards for the service and told people what they should expect from staff and the service in respect of the quality of care they received.
The provider worked in partnership with other agencies. This supported people in ensuring any changes were raised with professionals and those funding the person’s care needs.
Rating at last inspection:
The service was rated good at our last inspection (published 9 June 2017).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned in line with our inspection schedule or in response to concerns.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.