Updated 7 March 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 carried out by three inspectors 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 manager in post who had submitted their application to become registered manager with the CQC.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 25 January 2023 and ended on 2 February 2023. We visited the location’s office on 31 January 2023.
What we did before the 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 (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 also used information gathered as part of monitoring activity that took place on 17 January 2023 to help plan the inspection and inform our judgements.
During the inspection
We spoke with 4 people who used the service, 4 family members and 7 staff including the manager. We also spoke with the provider who is the nominated individual for the service. 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 7 people's care records and medication records. We looked at 3 staff recruitment files and a variety of records relating to the management of the service.