Elite Privilege Care is a domiciliary care service providing personal care to people who use the service. At the time of our assessment, there were 28 people who were provided with personal care. The assessment started on 11 March and concluded on the 15 April. Staff understood their responsibilities for safeguarding adults and children. The provider worked well with external agencies to ensure collaborative care for people using the service. Managers were passionate and enthusiastic about their service and ensured staff worked in a positive environment and maintained appropriate training, supervision and safe staffing levels. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. Our review of this service confirmed staff were caring, however, it was unclear how people with learning disabilities were involved in their care or provided information about their care and treatment as the service did not tailor communication methods to meet the needs of all the people using the service.
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Elite Privilege Care received a Good rating across all five key questions at its first inspection in December 2017, with particular strengths in consistent staffing, person-centred care, and a compassionate, well-motivated workforce. Minor improvements were recommended around the regularity of staff meetings, competency checks, and clearer recording of spot check frequency.
Concerns (3)
minorSupervision / appraisal: “Staff did receive competency checks but these were not planned in a consistent manner. The registered manager agreed to plan these better in the future.”
minorGovernance: “We found staff meetings were sporadic but were detailed and considered issues in depth. The registered manager agreed to plan more regular service-wide meetings.”
minorGovernance: “Spot checks were recorded and the information stored in the care files making it difficult to determine the frequency. The registered manager agreed to add to the supervision matrix.”
Strengths
· People felt safe and received visits from consistent care staff, with person-specific risk assessments and risk management plans in place.
· Medication was administered safely with no concerns identified; infection control practices correctly followed.
· Staff spoken of very highly by people and relatives, described as caring, kind and considerate, often going above and beyond.
· Care records were person-centred with comprehensive daily notes; staff responsive to changing needs.
· Registered manager demonstrated good understanding of best practice and actively encouraged mentoring among experienced staff.