Community Care Team Ltd

This comprehensive inspection was announced, which meant that we gave the provider 48 hours' notice of our inspection, in line with CQC guidance for inspection of domiciliary care services. This is so we can arrange for someone to be at the agency office to assist with access to information we need to see. We visited the agency office on 17 July 2018.

At our last inspection we rated the service as requiring improvement and we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 regulation 11 Need for consent. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective and well-led to at least good.

At this inspection we found that the provider had completed those actions and we found the service was meeting the fundamental standards of quality and safety. We found improvements had been made in establishing whether people had the capacity to make certain decisions relating to their health and care. Where they could not we saw relevant people had done so or decisions had been made in peoples best interest and were recorded. This meant appropriate consent had been obtained.

Providers of health and social care services are required to inform us of significant events that happen such as allegations of abuse. Whilst the provider had dealt with such events appropriately they had not always notified CQC. The failure to notify us of matters of concern as outlined in the registration regulations is a breach of the provider's condition of registration and this matter is being dealt with outside of the inspection process.

There was a registered manager in post who was on annual leave at the time of our visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were sufficient numbers of staff available to meet people's needs. Staff training was on going and they had received appropriate training to safely support and care for people in their own homes Staff were regularly supported by senior staff through staff meetings, observations in practise, supervisions and appraisals.

We received mixed comments from people about whether the service was managed well in relation to the planning of visit times and deployment of staff. We have made a recommendation that the provider uses feedback received to take action to improve on areas that could be better for people who use the service and for the morale of the staff employed.

When employing fit and proper persons the recruitment procedures had included all of the required checks of suitability. Hazards to people's safety had been identified and appropriately managed.

People received the support they needed to take their medicines safely. The staff identified if people were unwell and supported them to contact health professionals.

Auditing and quality monitoring systems were in place that allowed the service to demonstrate effectively the safety and quality of the service provision.

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.

The five questions we ask about services and what we found