KAF Healthcare Training Centre Ltd

Updated 18 April 2019

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 an Expert by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise was 'older people'.

Service and service type:

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults and younger disabled adults.

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 24 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

¿ Before the inspection we reviewed the information we held about the service and the service provider. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We also spoke with the local authority commissioners and other health and social care providers.

¿ Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. The provider had completed a PIR.

¿ During the inspection, we spoke with five people who used the service and three relatives. We also spoke to two members of staff including the registered manager. We reviewed three people's personal care records, two staff records, staff rotas, medicine administration records and other records relating to the management of the service such as health and safety records and training records.

¿ After the inspection, we spoke to three care staff. We also reviewed further documents including the statement of purpose and quality assurance documents.

Updated 18 April 2019

About the service:

KAF Healthcare Training Centre Ltd is a domiciliary care agency that currently provides personal care to 28 people living in their own homes, including older adults and younger disabled adults.

People’s experience of using this service:

• People and their relatives told us they found the care provided was safe and caring. One person told us, “[Staff] are very good. They do everything.”

• Staff understood how to manage people’s risks and keep people safe from harm.

• Staff were recruited in a safe manner and the service ensured they were right for the role.

• People were supported to receive medicines in a safe way.

• The service worked well as a team to ensure people received care and support in a timely manner. • The service demonstrated a culture of continuous learning to provide the best quality support

• Staff were provided with adequate training, supervision and an appraisal to provide effective, care and support.

• People were encouraged to keep healthy and well.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

• People and their relatives felt involved in the care and support provided.

• People were treated with dignity and respect and were supported to be as independent as possible.

• Individual care plans were detailed and guided staff to provide person-centred care and support.

• People felt confident to make complaints and trusted the service would respond in an appropriate manner.

• People, relatives and staff spoke positively about the registered manager.

• The governance systems in place ensured people received high quality care and support.

Rating at last inspection:

• At the last inspection the service was rated Requires Improvement (published: 22 March 2018).

• At that time we identified five breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were related to Safe care and treatment; Fit and proper persons employed; Staffing; Person-centred care; Good governance.

• During this inspection we found the overall rating has improved and all breaches had been addressed.

Why we inspected:

• This was a planned inspection based on the rating at the last inspection.

Follow up:

• We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.

• For more details, please see the full report which is on the CQC website at www.cqc.org.uk