Background to this inspection
Updated
2 July 2019
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
One 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 domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a domiciliary 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 6 June 2019 and ended on 17 June 2019. We visited the office location on 7 June 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection-
Notifications we received from the service
Six people’s care records
Records of accidents, incidents and complaints
Audits and quality assurance reports
Eight people using the service; 3 relatives
Six members of staff
Updated
2 July 2019
About the service
Taylors of Grampound Ltd is a domiciliary care agency. The agency provides care throughout Cornwall.
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. At the time of this inspection the agency was supporting approximately 77 people with personal care.
People’s experience of using this service and what we found
About the service
Taylors of Grampound Ltd is a domiciliary care agency. The agency provides care throughout Cornwall.
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. At the time of this inspection the agency was supporting approximately 77 people with personal care.
People’s experience of using this service and what we found
People felt safe using the service. Staff had been trained to understand how to manage risks to people and how to report any concerns they had about people.
People’s needs had been assessed and the registered manager was in the process of improving what information was sought before people used the service. 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. We have made a recommendation about the registered manager’s knowledge of mental capacity assessments. People’s health needs were met and they told us staff gave the support they needed to eat and drink.
People felt well cared for and had close, trusting relationships with staff members. People told us they were involved in decisions about their care and felt listened to. People received care and support that was personalised to meet their individual needs. Complaints were investigated and any learning implemented.
People told us the service was well led. People confirmed the provider’s and registered manager’s aims of enabling people and providing person centred care were delivered by staff. People described the positive impact these had had on their lives and on their relatives’ lives. The provider and registered manager reviewed records regularly to identify ways to improve the service. The registered manager was open to suggestions and made changes following feedback provided from the inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection The last rating for this service was Requires improvement (published 19 June 2018).
Why we inspected This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.