Anderby Care Ltd

Updated 22 April 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. 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 undertaken by an inspector and an assistant inspector.

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

This inspection was announced. 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 registered manager would be in the office to support the inspection. Inspection activity started on 9 January 2020 and ended on 24 January 2020.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including information received about the service from notifications sent to the Care Quality Commission by the registered manager. 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.

On 9 January 2020, we spoke by telephone with five people who used the service and three relatives to ask about their experience of the care provided.

We used this information to plan our inspection.

During the inspection

We visited the agency’s office on 21 January 2020. We spoke with the registered manager, the office manager and a number of the office-based staff. We reviewed a range of records. This included people's care plans, care records and medication records. We looked at three staff files in relation to recruitment, training and supervision. We looked at a variety of records relating to the management of the service, including quality audits and improvement plans, accidents and incidents analysis and complaints records.

After the inspection

We spoke with three members of care staff by telephone, on 28 January 2020.

Updated 22 April 2020

About the service

Anderby Care Ltd provides care and support for people living 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. At the time of our inspection the service was supporting 63 people with their personal care needs.

People's experience of using this service and what we found

People told us they were very happy with the support they received. The provider had made improvements to ensure staff were recruited safely, and to ensure staff received the training and support they needed to fulfil their roles and responsibilities.

People were protected from abuse and any risks associated with people’s care were well managed. Staff used gloves and aprons when these were needed to protect people from the risk of infection, and people's medicines were managed safely.

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.

Care staff were familiar with people's preferences and needs. They were committed to promoting people's privacy, dignity and independence and supporting them to make choices. People who used the service spoke positively about the staffs’ caring approach.

The provider had made improvements to the audit tools used to monitor the safety and quality of service delivery and staff performance. They had ensured the improvements were well embedded into practice and were used effectively to drive improvements to the service people received. People and their relatives were asked for their views about the care and support the service offered. There was a positive, open and supportive culture at the service and staff felt well supported, listened to and valued.

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

Rating at last inspection and update

The last rating for this service was requires improvement (report published January 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider had made improvements and was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.