Locums4Care Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults. Not everyone using Locums4Care Ltd receives the regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

This service was registered on 26 May 2017.This was their first inspection.

At the time of this announced comprehensive inspection of 7 June 2018, there were nine people who used the service that received ‘personal care’. The provider was given 48 hours’ notice because it is a small service and we wanted to be certain the registered manager would be available on the day of our inspection. We also wanted to give them sufficient time to seek agreements with people and or their relatives where appropriate, to speak with us on the telephone to find out their experience of using the service.

A registered manager was in post. 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.

People and their relatives had developed good relationships with the care workers and the registered manager. People received care that was personalised and responsive to their needs. They expressed their views and care workers listened to what they said and ensured their decisions were acted on.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s care records were accurate and reflected the support provided. Care workers protected people’s privacy and dignity.

Systems were in place to minimise the risks to people from abuse, accessing the community and with their mobility and nutrition. Care workers understood their roles and responsibilities in keeping people safe.

Recruitment checks were carried out with sufficient numbers of care workers employed who had the knowledge and skills through supervision and training to meet people’s needs.

Where people required assistance with their medicines, safe systems were followed. Care workers were provided with training in infection control and food hygiene and understood their responsibilities relating to these areas. Systems were in place to reduce the risks of cross infection.

The service worked in partnership with other agencies. Where care workers had identified concerns in people’s wellbeing there were systems in place to contact health and social care professionals to make sure they received appropriate care and treatment. Where required, people were safely supported with their dietary needs.

There was a complaints procedure in place and people knew how to voice their concerns if they were unhappy with the care they received. People’s feedback was valued and acted on.

Accidents and incidents were recorded and reviewed regularly to ensure lessons were learnt and reduce reoccurrence. Systems were in place to monitor quality and to drive improvements within the service.