Background to this inspection
Updated
6 July 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 Care Act 2014.
Inspection team
Our inspection was completed by one 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 This service also provides care and support to people living in 1 ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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 was in post.
Notice of inspection
This inspection was announced. We gave the service 48 hours' notice of the inspection. This was because we needed to be sure the registered manager would be available to support the inspection.
Inspection activity took place on 8 June when we visited the registered office in Purley then visited the supported living service in Wallington.
What we did before the inspection
We reviewed the information we had received about the service, including any statutory notifications received. The provider completed a 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. We used all of this information to plan our inspection
During the inspection
We spoke with 2 people using the service, the registered manager and 2 support workers. We reviewed a range of records including care and staff records and records relating to the management of the service. continued to seek clarification from the provider to validate evidence found.
Updated
6 July 2023
About the service
Carlene Home Care Services is domiciliary care service providing personal care to people living in their own homes and in a supported living service at one house in Wallington with shared facilities and staff available at all times. At the time of the inspection, there were 2 people receiving personal care at the supported living service who were adults with a learning disability and/or autism. 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.
People’s experience of using this service and what we found
Right Support: Model of Care and setting that maximises people’s choice, control and independence
People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights
There were enough staff to support people safely and at the agreed times. The provider checked staff were suitable to work with people through recruitment checks. Staff received training in infection control practices, including the safe use of personal protective equipment (PPE) to reduce the risk of infections. People received the right support in relation to their medicines.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
The registered manager and staff team understood their role and responsibilities. The registered manager engaged and consulted well with people using the service and staff. Staff were supported by the registered manager. The registered manager understood their responsibility to notify CQC of significant events as required by law although none had been required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
At our last inspection we rated the service good (report published September 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.