24 October 2018
During a routine inspection
We gave the provider 48 hours of our intention to undertake the inspection. This was because the service provides domiciliary care to people in their own homes and we needed to make sure someone would be available at the office to speak to us. At the time of inspection, the provider was providing personal care and support to three people.
Actual Care Services is a domiciliary care service which is registered to provide personal care to people living in their own homes. The registered provider manages the service with care provided by a small team of staff. 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. At the time of our inspection, three people were receiving care and support services.
The provider had not carried out sufficient checks and audits to ensure themselves that the quality of the service was consistently high. Staff had not completed all mandatory training as required by the provider.
People felt safe with the staff that were supporting them and reported that staff were consistently on time and not rushed. Staff understood about potential risks and types of abuse and knew how to report concerns.
Staff were recruited using processes that ensured they were suitable to work with people and records showed that people received their medication at the right time.
People were supported by staff who understood their needs and were knowledgeable and skilled. Staff received good support from managers and felt they were well trained to carry out their roles.
People’s health was promoted by preparing food that was in line with their preferences and by ensuring people had access to drinks.
People were involved in decision making and care planning and the provider ensured that people’s preferences were known and met. Staff were caring and respectful towards the people they were supporting and were motivated to provide a high quality service.
People and relatives had the opportunity to raise concerns and complaints and reported that the provider responded to their worries quickly and effectively. People were supported to attend activities and special occasions through the flexible allocation of staff.
People and relatives were very happy with the way the service was led and staff told us that they enjoyed working for the provider