Background to this inspection
Updated
31 January 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We inspected the service on 3 January 2019. The inspection visit was announced and was carried out by an adult social care inspector. The registered manager was given notice because we needed to be sure that they would be available at the office to assist in the inspection.
We spent time at the office looking at records. This included two people’s care and support records, two carer recruitment files, policies and procedures and other records relating to the management of the service.
We spoke with the registered manager, four members of staff and a carer on the day of the inspection. We telephoned three carers after the inspection.
Before our inspection, we reviewed the information CQC held about the service. This included any safeguarding referrals received, any complaints that had been made and any other information from members of the public. We looked at notifications we had received. A notification is information about important events which the service is required to tell us about by law.
The registered manager completed a Provider Information Return (PIR) as requested. This is a form that asks the registered provider to give key information about the service, for example, what the service does well and any improvements they intend to make.
Updated
31 January 2019
Shared Lives - Coronation Centre is a Shared Lives service provided by VIVO Care Choices Limited. VIVO Care Choices Limited is a not-for-profit company owned and regulated by Cheshire West and Chester Council, established in 2013.
The service provides long term family support, respite care and sessional support to people in Cheshire West. Most of the people who used Shared Lives - Coronation Centre did not receive a regulated activity. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.
Shared Lives used to be referred to as ‘adult placement schemes’, which remains the legal term used to describe them. CQC does not regulate individual shared lives carers and ‘placements’. We regulate at scheme level, through agency locations. Like any other person’s own home, we have no powers to enter shared lives carers’ homes. They are also the person receiving care’s own home.
We last visited Shared Lives - Coronation Centre on 12 May 2016 and the service was rated ‘Good’. This inspection took place on 3 January 2019 and we gave notice to the registered manager prior to our visit to ensure they would be available to assist with the inspection. At this inspection we found that the service remained ‘Good’. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff and carers were aware of the provider’s safeguarding policies and procedures and had undertaken safeguarding training.
Robust recruitment processes were in place for staff and for carers which meant that people were protected from staff and carers who were unsuitable to work with people who may be vulnerable to abuse or neglect.
Regular checks were made to ensure that carers’ premises were safe and suitable. Risk assessments were completed as needed, for example when people were going away on holiday.
Staff and carers had induction training with regular updates. Staff and carers had regular supervisions and meetings. Both the staff and the carers we spoke with felt they were supported well.
Each placement was subject to a full annual review including finance and medication checks.
A complaints policy was available and the manager maintained records of complaints received and how they were addressed.
Quality assurance processes were in place which included meetings held with carers and reviews of people's care. People using the service and their carers were also able to make their views known through questionnaires. There was a range of audits to monitor the safety and effectiveness of the service.