MK Care Services Limited

Some records kept in the office required further detail to ensure these were current and contemporaneous. We saw there were quality assurance processes in place which were proportional to the current size of the service, however, its effectiveness could be improved as improvements in the recording of medication, mental capacity assessments and some details in people's care plans had not been identified previously by the registered manager.

Overall medication was managed well, however improvements were required in recording the support provided with prescribed creams and staff's competency assessments. We have made a recommendation for the provider to consult and implement relevant guidance and best practice in relation to administering medication in the community.

Risks to people's care were well managed. Risk assessments were in place to identify and manage risks to people and staff. However, some risk assessments and care plans held in the office were not always as detailed as the ones in people's homes. Staff and the registered manager were knowledgeable about identifying and reporting safeguarding concerns. The provider recruited staff safely and ensured staff followed safe infection control practices.

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 practise. Improvements were required in how the provider was recording relevant discussions and decisions about the care of people who lacked capacity to make decisions. We have made a recommendation for the provider to always complete these records and to consult relevant guidance and best practice in relation to the Mental Capacity Act 2005.

People received support to maintain good nutrition and hydration and their healthcare needs were understood and met. The provider kept in close contact with relevant healthcare professionals.

People and relatives told us the service had a positive impact on their lives and staff were caring and compassionate.

The provider was caring for people with complex health conditions and some required end of life care. Most

care plans were detailed, and person centred; these were updated when required. Staff knew people well and had the necessary skills, training and support to carry out their jobs safely and effectively.

The service had not received any complaints. People and family members were confident that any concerns or complaints would be listened to and acted upon quickly by the registered manager.

We received positive feedback about the registered manager being approachable. There was a clear vision about the quality of care the provider wanted to provide and the registered manager told us about their plans to further develop the service and the resources they were accessing.