Background to this inspection
Updated
8 June 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was undertaken by and 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.
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 the Care Quality Commission 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. This person was also the provider of the service. We have referred to them as ‘the provider’ throughout this report.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small 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 14 April 2023 when we visited the office. Telephone calls were made offsite to people who used the service and their relatives. Inspection activity ended when we had a face to face meeting via video call with provider on 2 May 2023 to give feedback.
What we did before the inspection
We reviewed our systems and information we held about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We took this into account when we inspected the service and made judgements in this report.
During the inspection
We spoke with 6 people who used the service and 4 relatives about their experience of the care provided. We also had contact with 5 members of staff including care staff and the registered manager. We reviewed a range of records. This included care plans and a variety of other records relating to the management of the service. These were all considered as part of the inspectio
Updated
8 June 2023
About the service
Warren Homecare is a domiciliary care service that provides personal care to people in their own homes. At the time of our inspection there were 13 people using the service.
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.
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.
People’s experience of using this service and what we found
People and relatives were complimentary about their experience with Warren Homecare and would recommend using the service. One person shared, “The care staff have been really lovely and those who visit are kind hearted.”
The provider had processes in place to keep people safe and manage risks, including risks around infection prevention and control. There were sufficient suitably skilled staff to support people safely. There were processes to manage people's medicines, and to protect people from the risk of abuse or poor care.
The management team and staff worked with people, relatives, and other professionals to achieve person centred care and good outcomes for people.
Staff understood the importance of gaining consent from people and ensured people's privacy and dignity was respected. 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.
Care workers respected people's rights to privacy, dignity, and independence. They knew the person they were supporting well and described care that was person centred and very much led by the individual. People told us the care workers were caring, kind and respectful.
Whilst the registered managers delivered care and maintained an overview of activities, we have made a recommendation they review and strengthen their systems for monitoring the quality and safety of the service to ensure they are robust.
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 27 January 2022 and this is the first inspection.
Why we inspected
This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.