Background to this inspection
Updated
23 January 2019
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.
One inspector carried out this announced inspection between 19 December 2018 and 3 January 2019. We told the provider four days before our visit that we would be coming. We did this because we wanted to speak with people who use the service and staff, prior to visiting the service.
Before our inspection we looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. The provider completed a 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 assist with planning the inspection.
We asked for feedback from the commissioners of people’s care, representatives from the local authority and Healthwatch Cambridge. These people’s views helped us to plan our inspection.
On 19 December 2018 we spoke on the telephone with four people who used the service, and four people’s relatives. They provided us with feedback about the service they or their family members received. We also spoke with three care workers.
On 20 December 2018 and 3 January 2019 we visited the service’s office and spoke with the registered manager. We also looked at seven people’s care records, staff training records and other records relating to the management of the service. These included audits and meeting minutes. We also spoke with another relative and a social care professional on the telephone.
Updated
23 January 2019
Availl (Cambridge) is a domiciliary care agency. It provides personal care to adults living in their own houses and flats.
Not everyone using Availl (Cambridge) received the regulated activity of personal care. CQC only inspects the service being received by people provided with personal care, help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
This announced inspection took place from 19 December 2018 to 3 January 2019. At the time of this inspection, 26 people received the regulated activity, personal care.
At our last inspection on 20 January 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There was 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 2008 and associated Regulations about how the service is run.
People were protected from avoidable harm by a staff team who were trained and confident to recognise and report any concerns. Staff assessed and minimised potential risks. The provider only employed staff after they had obtained satisfactory pre-employment checks. There were enough staff to ensure people’s needs were met safely and in a timely manner.
People were supported to manage their prescribed medicines by staff who were trained and had been assessed as competent to administer medicines. Staff followed the provider’s procedures to prevent the spread of infection and reduce the risk of cross contamination.
People’s care was planned and delivered in line with good practice guidance. Staff knew the people they cared for well and understood, and met, their needs. People received care from staff who were trained, well supported, and had the skills and knowledge to meet people’s assessed needs.
Staff supported people to have enough to eat and drink. People were assisted to have access to healthcare services to help maintain their health and well-being.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were fully involved in making decisions about their care and support. People and their relatives were involved in the setting up and review of their or their family member’s individual support and care plans.
Staff treated people kindly and made people feel that they mattered. Staff respected and promoted people’s privacy, dignity and independence.
Staff met people’s personal and health care needs. Care records provided staff with guidance on how to do this. Staff supported people to consider their end of life care to ensure they had the most comfortable, dignified, and pain-free a death as possible. Staff worked in partnership with other professionals to ensure that people received the best care possible.
People’s suggestions and complaints were listened to, investigated, and acted upon to help improve the service.
Staff liked working for, and were well supported by, the registered manager. The registered manager sought feedback about the quality of the service provided from people and acted to make improvements.
The provider’s monitoring process looked at systems throughout the service. The registered manager also carried out audits and quality monitoring checks to help identify shortfalls and to help drive forward improvements.
Further information is in the detailed findings below.