Cambridgeshire Care Agency Limited

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this announced inspection carried out on the 10,11 January 2019, we found the service remained Good overall.

Staff protected people as far as possible from discrimination and harm. The registered manager assessed potential risks to people. Plans were in place so staff knew how to minimise risks to people in the least restrictive way and without removing people's right to take risks. However, staff did not always notify the registered manager quickly enough when people's care and support needs changed.

The registered manager recruited new staff following checks to make sure they were suitable. There was enough appropriately trained staff to work in this service to meet people's changing needs. Staff did not support people with their prescribed medication. Staff had received training in infection control practices. Staff had personal protective equipment such as gloves and aprons provided for them. The registered manager and staff team used incidents as a learning tool to help further ensure people's and staffs safety and well-being.

People continued to receive an effective service. Staff received supervisions, appraisals, training and support, which helped them to do their job. The registered manager assessed people's care and support needs to make sure staff could meet these needs, before offering the person a service. Staff supported people to eat and drink enough to maintain their health. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People continued to receive care and support from staff who cared about their well-being. Staff respected people's privacy and dignity. They knew people well and helped people to still be as independent as possible.

People continued to receive a service that was responsive to their needs. People were fully involved in planning their care and made their own decisions about this support. Support plans were personalised and gave information for staff, from the person's viewpoint. Staff went with people, if asked, to community activities and keeping their interests. The registered manager dealt appropriately with complaints and tried to resolve complaints wherever possible.

The service continued to be well-led, by a registered manager who gave good, hands-on leadership. They monitored the service for quality and put actions in place to address any shortfalls. There was an open,

person-centred culture. The provider sought the views of people, and staff and these views were considered to ensure continuous improvement. The service, where possible, worked in partnership with organisations to provide people with joined-up care.

Further information is in the detailed findings below.

The five questions we ask about services and what we found