Background to this inspection
Updated
19 September 2023
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
The inspection was carried out by two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 27 June 2023 and ended on 21 August 2023. We visited the location's office on 04 July 2023.
What we did before the inspection
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 reviewed other information we had received such as notifications and safeguarding alerts. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We spoke to the registered manager of the service. We also spoke to the business secretary.
We reviewed 1 person’s current risk assessment and care planning records. We also looked at recruitment, induction, supervision arrangements and training information for current and prospective staff and we looked at the organisation’s policies and procedures.
We received feedback from 1 person’s relative and from the person using the service through phone-call about how safe they, and their relatives, felt and how the service met their needs.
Updated
19 September 2023
About the service
Indecare Limited is a small domiciliary care service, providing support to 1 person at the time of our inspection.
The person received personal care. This is help with tasks related to personal hygiene and eating.
People’s experience of using this service and what we found
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 practice.
People's safety was promoted because the service assessed, monitored and managed their safety well. Potential risks people faced had been identified, assessed and were regularly reviewed. The assessments provided information about steps that care staff should take to support people to ensure that any potential risks were minimised.
The service had enough staff to provide support to the person currently using the service. Pre-employment checks had been carried out for care staff. These checks helped to safeguard people using the service by ensuring that only suitable applicants were offered work with the service.
People were supported by staff who had received relevant training in evidence-based practice. The provider was in the process of developing further robust induction training with qualified trainers to ensure that all staff were trained during their induction.
People were protected from poor infection control associated risks. Personal protective equipment, for example face masks, gloves and hand sanitiser, was provided to in suitable quantities and staff were knowledgeable about using it effectively.
Guidance for staff and training was provided. The service completed an assessment of the person's needs and personal wishes about how they were cared for, and care plans included guidance about meeting these needs.
Rating at last inspection
This service was registered with us on 16 April 2021 and this was the first inspection of the service.
Why we inspected
The inspection was prompted in part by information of concern we received following a death of a person using the service. This incident is not subject to further investigation by CQC as to whether any regulatory action should be taken. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of infection prevention and control and the safety of people using the service. This inspection examined those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the Safe and Well-led sections of this full report.
We carried out a comprehensive inspection of this service on 4 July 2023.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.