Background to this inspection
Updated
21 July 2023
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.
This inspection was carried out ‘using remote technology'. We used electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. We visited the service’s office to have a conversation with the management team.
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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave short notice of the inspection in order for the registered manager to provide us with the documentation we needed to look at.
Inspection activity started on 14 February 2023 and ended on 30 March 2023. We visited the service’s office on 28 February 2023 and had a video meeting with the management team on 30 March 2023.
What we did before the inspection
We reviewed information we had received about the service since it was registered. We used information gathered as part of monitoring activity that took place on 18 January 2023 to help plan the inspection and inform our judgements. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with 3 people who used the service. We talked with the registered manager (who was also the nominated individual), the care co-ordinator and 3 members of staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 3 people's care records and 3 staff files. We reviewed records relating to the management of the service, including audits and policies and procedures.
Updated
21 July 2023
About the service
Matn Limited is a domiciliary care agency providing support for people in their own homes. Not everyone using the service received personal care. The Care Quality Commission (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 our inspection there were 9 people using the service.
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
Systems to monitor and review how people are supported with their medication required improvement. There were enough staff to meet people’s needs. People were involved in developing their care plans. Staff supported people in the least restrictive way possible and in their best interests. People were encouraged to maintain their independence.
Right Care
Care was person-centred and people were happy with the support they received. People’s dignity and privacy was maintained and promoted by the service.
Right Culture
Governance arrangements for the service required improvement. Staff did not always follow its systems and processes effectively. The registered manager had a clear vision about the service would grow and develop. The provider was able to demonstrate a culture of emotional support for people including members of staff.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 8 December 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We have identified a breach in relation to the governance of the service at this inspection.
We have made recommendations regarding recruitment and staff training.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.