Background to this inspection
Updated
30 June 2021
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 carried out by one inspector and an 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.
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 a short period notice of the inspection in order to make arrangements to speak with people using the service.
Inspection activity started on 20 May 2021 and ended on 25 May 2021. We visited the office location on 20 May 2021.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed all other information such as feedback from members of the public and notifications from the provider. Notifications are information about specific incidents the provider is required to report to us.
During the inspection
We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records; this included four people’s care plans, medicine administration records and staff recruitments records.
After the inspection
We spoke with seven people using the service and five family members. We received feedback from four members of staff by phone and email.
Updated
30 June 2021
About the service
1st Grade Care is a domiciliary care service providing personal and nursing care to 21 people.
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 and what we found
People’s comments reflected that there had been a period of difficulty in relation to how care packages had been managed. This related to call times being changed without involving people. However, this had been resolved and people acknowledged the service was improving. One person commented,”I feel that the new team are improving things and listening to our requests. I think there is a long way to go, but it appears to be going the right way”. People were clearly comfortable with the staff that cared for them and had opportunity to build positive relationships, “I am very comfortable with the staff I have in my home. They do their best to care for me”.
People told us they felt safe. There were systems and processes in place to ensure care was delivered in a safe way. Risk assessments were completed to guide staff and staff received training in topics such as safeguarding, moving and handling and medicines.
Staff were satisfied with the training and support they received and felt able to raise any issues or concerns they had. They told us they were kept informed of important developments in the service.
Care was planned and delivered with the full involvement of the person concerned, and their relatives if this was agreed by the person. Care plans were written in a person centred manner and took account of the aspects of care people were able to be independent with. Care was reviewed regularly to ensure it was up to date and reflected people’s current needs.
People felt able to raise issues and concerns if they had them; we saw examples of when complaints had been formally addressed through the complaints process.
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
This was the first inspection of the service, registered in February 2017. The service had not been operating for some periods since first registering.
Why we inspected
This was a planned inspection based on current priorities for inspection.
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.