Updated 22 July 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be available in the office to support the inspection.
Inspection activity started on 31 May 2022 and ended on 7 June 2022.
What we did before the inspection
We reviewed information we had received about the service since it was registered with us. This included notifications. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We met with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider, Epiphany Care Services Ltd. The nominated individual was also the registered manager. We spoke with the relative of the one person who used the service and the relative of another person who used the service a few months previously. We were unable to speak with the care worker employed by the service as they were not available.
We looked at the care records for three people. This was the person who used the service, the person who previously used the service and a person who was due to start using the service and whose assessment and support plan had been completed. We looked at their initial needs assessments, risk assessments and support plans. We also looked at staff training records, recruitment records for three staff, supervision records, staff meeting minutes, complaints, safeguarding and medicines policies and procedures and records related to the management and quality monitoring of the service.