Background to this inspection
Updated
7 June 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector and an assistant inspector
Service and service type: PIA is domiciliary care service providing people with learning and physical disabilities with personal care in their own homes. Some people lived together in communal housing.
The service had an experienced registered manager. 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.
Notice of inspection: The inspection visit took place at the office location on 9 May 2019 and was announced. We gave the service 24 hours’ notice of the visit to ensure we could speak with the registered manager. Following our office visit we spoke with people who used the service via telephone to gain their feedback.
What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as serious injury. We sought feedback from the local authority and professionals who worked with the service. We assessed the information we require providers to send us annually that gives us key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection visit: We reviewed three people’s care records, to ensure they were reflective of their needs, and other documents such as medicines records. We reviewed records relating to the management of the whole service such as quality audits, training information, people’s feedback, and meeting minutes.
We spoke with two people who used the service, and four people’s relatives, who provided us with feedback about the service. We also gathered feedback from three care workers, three service managers, an operations manager, the nominated individual who was also the registered manager, and a quality assurance manager.
Updated
7 June 2019
About the service: People in Action Domiciliary Care – North Warwickshire and Coventry (PIA) is a domiciliary care service that provides personal care for people in their own homes. There were 59 people receiving this service at the time of our inspection. Most people who used the service had a learning disability.
People's experience of using this service:
People felt safe with staff who visited them in their home.
People's safety had been considered and risks were managed to maintain their safety.
Staff had received training in relation to safeguarding and knew how to protect people from harm.
Medicine was managed safely.
The risk of infection spreading was reduced by good hygiene practice.
People told us they were supported to have choice and control of their lives, live independently and chose everyday how to spend their time. However, documents describing where people had the capacity to make their own decisions were not always clear and did not always show people’s consent to their care arrangements.
At the time of our inspection visit the provider was offering staff and managers additional training in how to interpret the Mental Capacity Act 2005 (MCA), they were introducing new care records formats to better record decision making processes.
The provider delivered person-centred care. People’s needs were assessed in detail to ensure the service could be tailored to meet their individual social, care and health needs.
People were treated kindly and compassionately by staff.
Staff respected people's privacy and dignity.
People were supported to take part in activities of their choice.
Information was provided in a range of formats to support people’s understanding.
The provider had a complaints policy and process in place; people feel comfortable raising complaints.
When people reached the end of their life, the provider had policies in place to meet their wishes and preferences.
The provider had quality monitoring arrangements through which they continually reviewed, evaluated and improved people's care.
People, stakeholders and staff had an opportunity to shape the service.
The provider invested in staff development to ensure people received care from experienced and caring leaders.
Rating at last inspection: Good. The last report for PIA was published in November 2016. At this inspection we found the provider had maintained their Good rating.
Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services.
Follow up: We will continue to monitor the service to ensure it meets its regulatory requirements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.