Community Care Worker Limited

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.

Improvements had been made to call times and we received no reports of missed calls. Some people reported call times were not always exact. However, we found the majority of the calls deemed late, were within the thresholds set by the local authority. People received more consistent staff support and staff now worked within specific geographical areas which they told us was much better. Processes were in place to ensure medicine errors were investigated and lessons were learnt when things went wrong.

People were supported by sufficient staff who had been recruited following receipt of satisfactory references and Disclosure and Barring Service (DBS) checks. We discussed the recruitment records with the provider and recommended any preliminary recruitment activities were also recorded to ensure there was a complete timeline of events. For example, telephone conversations. Staff were knowledgeable on infection control and had access to personal protective equipment (PPE).

Staff told us they received regular training, but staff were completing a lot of training in one day. Although the provider gave further assurances regarding how training was managed, we recommended the provider took steps to ensure all learning was recorded and it was clear when staff had been assessed as competent.

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.

People's care needs were assessed. People were supported with mealtimes and referred to health services, if needed.

The provider had improved the governance of the service and involved other agencies in driving improvements. The staff team engaged well with people, although a number of people told us there was an occasional language barrier, especially with new staff but all staff were polite. The provider engaged with people to gather their feedback. However not all persons felt they have been contacted. We recommended the provider engage with everyone to ensure their feedback can be gathered and acted upon as necessary.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the last inspection staff told us they had received training in learning disabilities and autism but did not feel confident. At the time of this inspection, the location did not support anyone with a learning disability or an autistic person. We will revisit this area on our next inspection to ensure the service is meeting the principles of Right Support, Right Care, Right Culture.