About the service Apex Prime Care Shaftesbury provides domiciliary support services to people in their own homes. It provides a service to older people and younger adults some of whom have a physical disability, sensory impairment or dementia. At the time of our inspection there were 41 people receiving a 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, staff and relative’s feedback about communication with the office was mixed. The registered manager, who had recently taken on the role at the location, had identified this as an area for improvement and was taking steps to resolve this.
People told us staff made them feel safe and were well trained. They expressed satisfaction with the care they received. One person said, “All my care needs are met well.” A relative told us, “[The carers] are giving excellent care.”
Staff had a good understanding of the signs and symptoms that might indicate people were experiencing harm and abuse. They felt confident they would be listened to if they raised concerns.
People received their medicines on time and as prescribed. These were only administered by staff with the required training and competency checks. As and when people’s health changed, they were supported to access relevant health services.
People were supported to have maximum choice and control of their lives and staff supported 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 identified more detail was required in people’s mental capacity assessments and was reviewing these to ensure quality.
People and their relatives told us staff were kind and caring and treated them with respect.
People’s care plans were person-centred and contained detailed information to help staff get to know people well and meet their needs. This included how to support people’s communication needs and their emotional wellbeing.
Staff and professionals spoke positively about the registered manager. One professional expressed, “From my experience [name] has been a very good manager, [name’s] very good at letting us know of any issues and is very keen on following procedures.” The registered manager supported staff and looked to drive continuous improvement.
Various audits were undertaken which helped ensure service quality was maintained and improved. The registered manager understood the importance of good oversight to identify issues and embed good practice.
Staff felt appreciated and proud to work for the service. One told us, “I always feel proud to put my uniform on.”
The service understood the benefits to people of close liaison with other agencies and organisations such as community nurses, social work teams and GP practices.
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 the service at the previous premises was good (published 18 March 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.