Archived: Rutland County Council

Updated 8 November 2016

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.

This inspection took place on 6 October 2016 and was announced.

The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. This inspection was completed by one inspector.

Before this inspection we reviewed the information that we held about the service to inform and plan our inspection. This included any statutory notifications we had received. Statutory notifications tell us about important events which the service is required to tell us by law. We had received a completed Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During this inspection we spoke with three people using the service, one relative, two reablement support workers, one social worker, one nurse, one senior occupational therapist, one locum occupational therapist, the assistant manager and the registered manager.

We reviewed a range of records relating to the care and support that people received and how the service was managed. These records included information relating to the development of a support packages, the information that people were asked to provide relating to their needs, three support plans, preferences, routines and environment, and the reviews that were regularly undertaken, audits, spot checks and recruitment and training records plus other management documents.

Updated 8 November 2016

We inspected the service on 6 October 2016 and the inspection was announced. The provider was given 48 hours' notice because the location provides domiciliary care, therefore we needed to be sure that someone would be in.

Rutland County Council Reach service is a domiciliary care agency that offers personal support and care to people in their own homes. This is provided to support people back to being as independent as they are able and work with other agencies to achieve this goal. At the time of this inspection the service was providing services to 13 people in the local area.

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 and associated Regulations about how the service is run.

People told us that they felt safe when staff provided any assistance.

The registered manager had assessed the risks associated with providing support and care in the person's own home environment This supported the safety of the person receiving the service as well as members of staff. Any incidents or accidents were fully analysed to develop strategies to prevent an incident reoccurring.

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Staff had undergone relevant employment checks. They also understood how to keep people safe and report any concerns if needed.

Staff had received training and supervision to meet the needs of the people who used the service. Staff told us that they felt supported by senior staff, by the manager and the team in general. Their competencies to undertake their specific work role was regularly assessed. Training included the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to maintain their health and independence. People's health needs were monitored and when necessary, outside health professionals were contacted for support.

People were treated with kindness and respect. People's independence was promoted and staff supported people to have sufficient to eat and drink.

The registered manager had assessed the care needs of people before any support package was agreed. People were involved in the planning of their support and care and their feedback was sought.

People told us that they were given information about making a complaint and that there was always someone to talk when they telephoned.

The registered manager had systems in place to monitor the quality of the service provided. There were also review systems and spot checks that were completed regularly.