Background to this inspection
Updated
9 June 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
The inspection was completed by an inspector 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 registered manager in post.
Notice of inspection
We gave the service short notice of the inspection to ensure staff we needed to speak with would be available.
Inspection activity started on 28 April 2023, when we visited the office and ended on 2 May 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since registration. We sought feedback from the local authority. We used all this information to plan our inspection.
During the inspection
We spoke with 2 people and 4 relatives about their experience of the care provided. We spoke with the registered manager, the nominated individual, 1 of the directors, the office manager and 3 care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 5 people’s care plans and 3 staff records and records related to the management of the service.
Updated
9 June 2023
About the service
Awesome Healthcare Basingstoke is a domiciliary homecare provider registered to provide personal care to younger and older adults who may be living with dementia, have a physical disability or learning disability, misuse drugs/alcohol or have a mental health diagnosis. At the time of our inspection there were 8 people using the service. People received domiciliary care or live-in care.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Overall people were happy with the service, they liked the staff and the care provided. When issues had arisen for individuals, the provider had taken appropriate actions.
Issues had been raised with CQC prior to the inspection about staff’s remuneration, we checked and found the provider had ensured staff remuneration and conditions of employment reflected legal requirements. Staff were happy in their work for the provider.
The provider recruited staff safely and took action to address the one issue we identified.
There were sufficient staff deployed to provide people’s care. Potential risks to people were identified, assessed, and managed safely. People received their medicines safely from trained staff. Processes and practices were in place to protect people from the risk of abuse. Processes were in place to protect people from the risk of acquiring an infection. Staff understood their responsibility to report any concerns which were then reviewed, and any required actions taken.
People’s care needs were assessed, and the planning of their care was based on legislative requirements and best practice guidance. Staff had the required skills and knowledge to provide people with effective care. Staff supported people to eat and drink enough for their needs. Staff worked both together and with external agencies to ensure people’s care and support needs were met.
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.
People were treated with kindness and respect by staff during the provision of their care. Staff supported people to be involved in decisions about their care. Staff respected and promoted people’s rights to privacy, dignity and independence.
Staff provided people with personalised care which was responsive to changes in their needs. People’s feedback on the service was sought and any issues raised were investigated. No-one was currently provided with end-of-life care but staff had provided this care previously.
People and staff spoken with reported the service was well managed. Processes were in place to enable the provider to monitor the quality of the service provided and to seek people and staff’s views. The provider worked with external agencies to provide people’s care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28 June 2022 and this is the first inspection.
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.