Background to this inspection
Updated
30 January 2024
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 Health and Social Care Act 2008.
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 and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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 6 December 2023 and ended on 15 December 2023. We visited the location’s office on 8 December 2023.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 12 September 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with 1 person using the service and 5 family members. We spoke with 3 staff including the registered manager. We reviewed a range of documents including 4 care plans and other records of care delivery. We looked at multiple medication administration records. We reviewed policies and procedures, quality assurance documentation and staff files.
Updated
30 January 2024
About the service
C&V Care Solutions Ltd is a domiciliary care service, providing the regulated activity of personal care. The service provides support to older adults, people living with dementia, people with physical disabilities and sensory impairments. At the time of our inspection there were 17 people using the service.
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 felt safe with the service. Staff understood how to raise any concerns about people’s safety, and these were investigated and reported to the appropriate authorities. Staff were aware of how to manage risks to people’s safety. There were enough staff to support people safely and staff arrived on time with people always knowing which staff were supporting them. Medicines were administered as prescribed, and staff had received training to do this safely. Where incidents occurred, these were reviewed, and learning was shared with staff. Staff understood how to minimise the risk of cross infection.
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.
The registered manager had systems in place to check the quality of the care people received. There was an open and transparent culture in the service with people able to raise any concerns and receive a response. Feedback was used to drive improvements and staff were engaged in the service and felt supported in their role. The registered manager worked in partnership with other agencies to ensure people’s needs were met and was engaged in a range of forums to help learn and develop the service.
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 31 August 2018)
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.