Background to this inspection
Updated
7 February 2020
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
The inspection was carried out by one inspector.
Service and service type
Prestbury Beaumont DCA is a domiciliary care agency (DCA). It provides personal care to people living in their own bungalows and apartments. The service is managed from Prestbury Beaumont Care Home, which is on the same site. The DCA service is available for people living in the bungalows and apartments on site owned by the people themselves. Many of the services provided to the people living in these were from staff and resources within the home. For example meals could be prepared and served in the home and people could join in with any social activities organised. This inspection focussed on the domiciliary care provided by Prestbury Beaumont DCA. At the time of the inspection the service offered support to several people, however only two people received personal care and support which involved an activity the provider was registered for with the Care Quality Commission.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the 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. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We spoke with six members of staff including the registered manager, care workers, administration staff and the regional manager.
We reviewed a range of records. This included two people’s care records, and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.
After the inspection.
We continued to seek clarification from the provider to validate evidence found. We spoke with two professionals who regularly visited the service to gather their views on the quality of care provided.
Updated
7 February 2020
About the service
Prestbury Beaumont DCA is a domiciliary care agency (DCA). It provides personal care to people living in their own bungalows and apartments. At the time of the inspection only two people received support with their personal care from the service.
People’s experience of using this service and what we found
People using the service received safe and effective care. Safeguarding systems, policies and procedures ensured people were safe and protected from abuse. Risks to health safety and welfare were identified and managed safely with the involvement of the person.
People told us they were supported and treated with dignity and respect. Their needs were met, and they were involved in the development of care and support plans that reflected their needs, personal preferences, likes and dislikes.
All the people using the service made positive comments about the standard of care and the service they received. One person said: “This is best the care in Macclesfield, a friend of mine has told me about other (services) and this is the best by far. Staff are caring my health care needs met, I'm safe and everything I need is to hand”. Another person said: “I would say this is an excellent (service) and consider myself fortunate.”
Care and ancillary staff were well trained and employed in enough numbers to meet people’s needs and safe recruitment procedures were followed.
Systems were in place for reporting accidents and incidents and learning from them.
The management team and the care staff had formed trusting and positive relationships with people who used the service.
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.
Community based health care professionals spoke highly of the staff and the management team, reporting that they worked in partnership with them to ensure that people’s health care needs were met.
People were given opportunities to openly express their views and opinions and felt listened to. Concerns and complaints were responded to effectively and managers and staff learned from experience.
New staff received induction training before they could provide care and support. They benefited from ongoing training including nationally recognised qualifications in health and social care. Morale amongst the staff team was good. Staff told us that they appreciated support, guidance and direction of the management team.
The provider and management team demonstrated a commitment to continuous learning, improving the service and the delivery of person-centred, high quality care by engaging with everyone using the service and stakeholders.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.