Updated 14 January 2020
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 undertaken by one 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 homes.
The service had a manager registered with the Care Quality Commission. However, they were absent from the role during our inspection and an acting manager was in place. This means that the provider is 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 two days’ notice of the inspection. This was because we needed to be sure that the provider or acting manager would be available to support the inspection.
Inspection activity started on 25 November 2019 and ended on 26 November 2019. This included visiting the office to speak with the acting manager, interviewing staff and reviewing care records, policies and procedures.
What we did before the inspection
We reviewed information we had received about the service since the last inspection as well as the last inspection report. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. 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 the acting manager, the regional support manager, four care staff and spoke to three people and one relative on the Willicombe Park site. The expert by experience spoke to a further five people who use the service, and two relatives by telephone. We looked at five people’s care records including their medicine records. We looked at training records for the staff team and we examined three staff members’ recruitment and supervision records. We viewed documents relating to the management of the service such as complaints and compliments, satisfaction surveys and quality audits.