About the service Medical Partnerships is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection 24 people were using the service. Of those 24 people, 23 were receiving a regulated activity, and the remainder received help in the home. 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
Not all staff who had started work at the service since August 2018 had received training. However people told us they felt staff had the skills to provide them with support they needed.
Systems were in place to check the safety and monitor the quality of the service, further improvements were required to ensure these systems were robust and imbedded.
Although 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; staff's understanding of the Mental Capacity Act 2005 was variable and not all staff had received training. We have made a recommendation that the provider refers to current guidance .
Recruitment procedures were safe. Staff had been recruited following relevant checks being completed. Staff enjoyed working at the service and could approach the registered manager for support and guidance at any time.
People were supported to maintain good health and access health care professionals. Where appropriate, referrals were made to health care professionals. Where required, people were supported with their nutritional needs.
People and relatives told us they were very happy with the care and support they received and would not hesitate in recommending the service to others. They spoke positively about the kind, caring attitude of staff and felt safe in the presence of staff. One person described staff as ‘their lifeline’.
Staff treated people with dignity and respect. People's independence was promoted and, where possible, they were encouraged to do as much as they could for themselves.
Assessments were undertaken prior to people using the service to ensure their care needs could be met. People continued to be consulted over their care and support needs.
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 good (published 3 August 2016). Since this rating was awarded, the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned comprehensive 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.