Right at Home South Trafford

Updated 11 September 2018

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.

Our inspection took place on the 5, 6 and 8 June 2018. The inspection was carried out by an adult social care inspector. The provider was given 24 hours’ notice, because the location provides a domiciliary care service and we needed to be sure someone would be available at the office to facilitate the inspection.

Before the inspection we reviewed information, we held about the service. This included the statutory notifications the CQC had received from the provider and the

Provider Information Return (PIR). Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. A PIR 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.

Prior to the inspection we contacted the local authority and Healthwatch Trafford to ask if they held any information about the service. Healthwatch is the national independent champion for consumers and users of health and social care in England. There was no information held on the service..

During our visit we spoke with the registered manager the senior field supervisor, the quality compliance manager, four care workers , one person who used the service and four relatives.

As part of the inspection we looked in detail at three people’s care records. These included care plans, risk assessments, medication administration chart (MAR) and daily notes. We reviewed other information about the service, including training and supervision records, three staff personnel files, policies and procedures, audits and survey results.

Updated 11 September 2018

We inspected Right at Home South Trafford on the 05 06 and 09 of July 2018. We gave the provider 24 hours’ notice we would be visiting to make sure the appropriate people would be there to assist us with our inspection. Right at Home South Trafford is a domiciliary care agency providing personal care and companionship in the Trafford Area of Greater Manchester. Care workers support people with a wide variety of needs including assistance with washing and dressing, domestic tasks, shopping and making meals. At the time of the inspection the service was providing personal care for five people.

At our last inspection we rated the service overall as good with requires improvement in the safe domain. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service to be good in all areas

Systems remained in place to help safeguard people from abuse. Staff had a good understanding of safeguarding matters, how to identify signs of abuse and what action to take to protect people in their care. Risk assessments had been completed to show how people should be supported with everyday risks. We saw that there was now weekly auditing of medication administration records (MARs) which ensured that the staff knew how to safely administer medication to people.

Recruitment checks had been carried out to ensure staff were suitable to work in a care setting with vulnerable people. At the time of our inspection there were sufficient staff to respond promptly to people’s needs. A system called ‘People Planner’ was in place to monitor that staff attended calls on time and stayed for the allocated amount of time.

Staff had undergone training to ensure they had the knowledge and skills to support people safely. All staff received and induction and regular supervision. This ensured the standard of their work was monitored and gave them the opportunity to raise any concerns.

The service was working within the principles of the Mental Capacity Act (MCA) 2005 and the

Deprivation of Liberty Safeguards (DoLS).

Staff worked closely with health and social care professionals to ensure people were supported to maintain good health.

People's care plans contained detailed information about their preferred routines, likes and dislikes and how they wished to be supported. We saw evidence that people were actively supported and encouraged to maintain links and interests within the community. One person told us “They take me out to the café or shops each week.”

The service had a formal process for handling complaints and concerns. We saw that complaints had been dealt with appropriately.

From our interactions with the manager and along with feedback provided we noted there was good leadership of the service. The manager was committed to maintaining and improving standards. Audits and quality checks were undertaken on a regular basis and any issues or concerns addressed with appropriate actions.