Care Plus Care (Isle) Ltd

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and people with physical disabilities or illnesses.

Not everyone using Care Plus Care (Isle) Ltd receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection 42 people were receiving a regulated activity.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. We found the well-led domain had deteriorated to Requires Improvement.

Systems and process were not always effective in identifying shortfalls and had not always been successful in improving the quality and safety of the service. In addition, there was not always an accurate, complete and contemporaneous record for people. We made a recommendation about improving this.

People were protected from abuse and avoidable harm, by staff who knew how to keep people safe. People were supported to receive their medicines safely, although some minor recording errors had not been identified through audits, plans were in place to address this.

Staff received effective levels of supervision and support and were recruited safely. Staff had completed an induction and a range of training to equip them with the skills and abilities to meet people's needs. People were supported to access healthcare and attend appointments. For those who required assistance with their nutritional needs, support was provided to maintain a diet of their choosing.

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 practice.

People told us they were supported by regular staff, which provided continuity of care. Staff were caring and understood the importance of confidentiality and respected people's privacy. People were supported to be independent and were treated with respect.

Staff assisted people in line with their preferences and were knowledgeable about people's needs and preferred routines, to provide individualised care.

There was a registered manager in post who has legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. There was also a care manager who carried out the day to day running of the service. People and staff told us the care manager was very approachable and they felt listened to. People were aware of how to make a complaint and these were responded to appropriately.

Further information is in the detailed findings below.

The five questions we ask about services and what we found