Background to this inspection
Updated
20 December 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 Care Act 2014.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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. The registered manager is also the provider.
Notice of inspection
We gave the service short notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection. We visited the office location on 14 November 2023 and carried out telephone calls to people and staff on 16 November 2023.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC and we sought feedback from the local authority.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with 2 people and 5 relatives about their experience of the care provided. We spoke with 4 care workers, the provider and registered manager.
We reviewed a range of records. This included 4 people’s care records and medication records for 2 people. We looked at 4 staff recruitment files and a variety of records relating to the management of the service, including policies and procedures.
Updated
20 December 2023
About the service
Inspire You Care Ltd, is a is a domiciliary care agency providing personal care to people in their own homes. The service supports older people, younger adults and people with physical disabilities. At the time of our inspection there were 21 people receiving support.
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.
People's experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most
people take for granted.
'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it
is registered as a specialist service for this population group.
Right Support:
Staff understood how to keep people safe and there were guidelines in place to inform staff how to care for people safely. People, relatives, and staff were asked their opinion about the service and were listened to. There were enough staff and people did not experience late or missed calls.
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.
Right Care:
Care was person-centred and promoted people's dignity and privacy. People were supported to stay safe. Safeguarding concerns were identified and reported as required. Medicines were managed safely and people were supported by staff who had been safely recruited.
Right Culture:
There was a positive culture. Staff felt well supported, enjoyed working for the service and told us they could raise concerns and make suggestions. Some improvements were needed to monitoring systems and plans were in place to make these improvements.
Rating at last inspection
The last rating for the service at the previous premises was requires improvement (published 20 November 2019) and there was a breach of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The rating has improved to good.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe, effective and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Inspire you care Ltd.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.