39 Wick Farm Road

Updated 28 May 2021

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

This inspection was carried out by two 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.

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

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. The inspection activity started on 26 April 2021. We visited the office location on 6 May 2021.

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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and ten relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager, and care workers.

We reviewed a range of records. This included four 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, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 28 May 2021

About the service

39 Wick Farm Road is a domiciliary care agency providing personal nursing care to 73 people aged 65 and over at the time of the inspection.

People’s experience of using this service and what we found

People told us they felt very safe with the staff that supported them. People told us they were supported by regular staff, who arrived on time and stayed for the duration. Medicine were given at the right time and in the right way. Staff had a good supply of personal protective equipment (PPE) and used this when supporting people. Specific risk assessments relating to COVID-19 had not been carried out on staff or with people. We have made a recommendation about how risk posed by COVID-19 is assessed.

Staff have been given the correct training and received regular supervision by the registered manager. New employees were given an induction. People were supported to eat and drink in line with their assessed needs and assisted to attend health appointments if this was needed.

The registered manager had made number of changes since the last inspection, they had implemented new policies and procedures, new electronic recording systems and new quality improvement audits and spot checks. Staff spoke positively about these changes and said it benefited them in their role. Management roles were clearly defined and surveys to obtain people's views of the service had been completed with positive feedback received.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update) The last rating for this service was requires improvement (published 5 June 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an announced comprehensive inspection of this service on (published 5 June 2019). Breaches of legal requirements were found. The

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 39 Wick Farm Road on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection priorities.