Background to this inspection
Updated
13 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
Before our inspection we reviewed the information we held about the service which included any enquiries and the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to help inform our inspection planning.
This inspection took place on 01 August 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The inspection team comprised of two inspectors. One inspector attended the office; they also visited five supported living units run by the provider and spoke with people using the service and staff. The other inspector made telephone calls to people who used the service and their relatives.
We looked at the care records of twelve people who used the service, staff training and recruitment records and records relating to the management of the service. We spoke with fourteen people using the service, the relatives of three people using the service, nine members of staff and the registered manager. We also contacted health and social care professionals and asked them for their views about the service.
Updated
13 August 2016
This inspection took place on 01 August 2016 and was announced. Three C’s Support provides care and support to people living in supported living units and to people living alone or with family members.
The service had a registered manager in post. 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 and associated Regulations about how the service is run.
People using the service said they felt safe and that staff treated them well. Appropriate recruitment checks took place before staff started work. Safeguarding adults procedures were robust and staff understood how to safeguard the people they supported from abuse. Appropriate procedures were in place to support people where risks to their health and welfare had been identified. There was a whistle-blowing procedure available and staff said they would use it if they needed to. People’s medicines were managed appropriately and people received their medicines as prescribed by healthcare professionals.
Staff had completed training specific to the needs of people using the service and they received regular supervision and an annual appraisal of their work performance. The registered manager demonstrated a clear understanding of the Mental Capacity Act 2005 and acted according to this legislation. People were provided with sufficient amounts of nutritional food and drink to meet their needs and they had access to a GP and other healthcare professionals when needed them.
People were provided with appropriate information about the service. This ensured they were aware of the standard of care they should expect. People and their relatives, where appropriate, had been involved in planning for their care needs. People’s diverse needs and independence were supported and respected, and there was a range of activities for them to partake in if they wished to. There was a complaints procedure in place in a format that people could understand. People said they were confident their complaints would be fully investigated and action taken if necessary.
The provider recognised the importance of regularly monitoring the quality of the service provided to people. People were enabled to express their views and opinions about the service. Staff said they enjoyed working at the service and they received good support from the registered manager. There was an out of hours on call system in operation that ensured management support and advice was always available when staff needed it.