M C Care Solutions Ltd is a domiciliary care service providing a regulated activity of personal care. The service was providing care and support to people in their own homes. 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. At the time of our assessment which took place between 30 July and 1 August 2024, there were 36 people receiving personal care from the service. Safeguarding procedures were in place to ensure people were protected from avoidable harm. People had care plans and risk assessments in place and their care tasks were person centred. They were encouraged to express their views and provide feedback. Staff felt supported and had the necessary skills to do their job. Safe staff recruitment processes were in place.
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M C Care Solutions Ltd, a domiciliary care service in Bournemouth supporting 21 people, received an overall rating of Good across all five key questions at its first inspection in September 2022. Minor recommendations were made regarding recruitment checks, care plan detail for health conditions, and audit tool effectiveness, but no regulatory breaches were identified.
Concerns (3)
moderateRecord keeping: “full recruitment checks and records, including a valid Disclosure and Barring Service (DBS) check and a full employment history, were not in place for one member of staff.”
minorCare planning: “care plans did not all detail the signs and symptoms staff should be concerned about and what to do if they observed them.”
minorGovernance: “a recent staff file audit had not identified some omissions in the recruitment of one member of staff... the audit tool did not specify this either.”
Strengths
· Registered manager carefully managed staffing levels to avoid taking on more care packages than could be safely sustained.
· Electronic care recording system provided real-time alerts for missed or late care calls and medicines, enabling prompt follow-up.
· Staff received monthly supervision, regular unannounced spot checks, and ongoing shadow shifts.
· People and relatives consistently described staff as kind, caring, respectful and not rushing care.
· Service worked proactively with health professionals, making timely referrals and acting swiftly on recommendations.
Quality-Statement breakdown (20)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood