Background to this inspection
Updated
23 September 2022
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.
Inspection team
The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a case management service and provides personal care to people living in their own houses and flats.
Registered Manager
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 the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 18 August 2022 and ended 30 August 2022.
What we did before the inspection
We reviewed information we held about the service. 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
This performance review and assessment was carried out without a visit to the location’s office. We used phone calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation. We spoke to four people’s relatives and five members of staff. This included the registered manager, team leader, and carers. We looked at four people’s care and medicine records. We reviewed information relating to the quality of the service. We received feedback from six health professionals that worked with the service.
Updated
23 September 2022
About the service
Kati Innes occupational therapy is a case management company providing a specialist service co-ordinating bespoke care packages for children and young people with cerebral palsy as a result of birth injuries. Kati Innes occupational therapy develop, deliver and monitor a package of care for people to meet their individual needs, support their rehabilitation, and provide for their care and support. At the time of the inspection, support was being provided to four people.
People’s experience of using this service and what we found
Risks to people were safely assessed and managed. People were supported by staff that had been safely recruited and knew people well. People were protected from the risk of harm and abuse by staff who understood their responsibilities around safeguarding and keeping people safe. People were supported to receive their medicines safely. Staff followed infection prevention and control procedures to keep people safe from the risk of infection.
People's needs and choices had been assessed in line with guidance and the law. The registered manager worked in partnership with people, their relatives and other health professionals to ensure that people's support needs were met. Staff received appropriate inductions, training and support to carry out their roles and support people effectively. The registered manager and staff ensured people received joined up and consistent support. 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 were supported by staff that were kind and caring. People were treated as unique individuals by staff. People and their relatives were supported to express their views and be involved in making decisions around their care. Staff respected people and their relative’s privacy when supporting people in their homes. Staff supported people to be as independent as possible.
The registered manager was responsive to people and their needs. People's care was planned around their individual choices and wishes. Staff were knowledgeable about people's communication needs and worked in partnership with people to gather their views. People were supported to follow their interests and take part in activities that were relevant to them.
The registered manager led a service that was person-centered, inclusive and empowering. Feedback we received from people's relatives and health professionals that worked with the service showed that the registered manager advocated for people's wishes. Good outcomes were achieved for people because the registered manager empowered people to live their lives how they chose to. The registered manager monitored the quality of the service provided and made improvements where identified. Staff, people and their relatives were able to give feedback about the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 15 July 2021 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.