Archived: Evolving Care Limited

Updated 11 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one adult social care inspector.

Service and service type:

Evolving Care is a Domiciliary Care service providing support to people living in their own homes. CQC only regulates the personal care provided.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are 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 48 hours’ notice of the inspection site visit to ensure someone was available to assist us with our inspection. We visited the provider's office and reviewed the care records of four people to see how their care was planned and delivered, as well as their medicine administration records. We looked at recruitment, training and supervision records for staff. We also looked at records which supported the provider to monitor the quality and management of the service.

What we did:

When planning our inspection, we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. During our inspection we spoke with the provider, registered manager, branch manager, senior operations manager, four staff, four people that used the service and two relatives. We also received feedback form the local authority regarding the service, no concerns were raised prior to inspection.

Updated 11 June 2019

About the service:

Evolving Care is a registered domiciliary care agency. It provides personal care to people living in their own homes in the community. At the time of inspection there were 44 people being supported with personal care. People supported included older people and people living with dementia.

People's experience using the service

People felt safe. There were systems to protect people from the risk of abuse and harm.

Medicines were managed safely.

Staff had the training and knowledge to effectively meet people’s healthcare needs.

People were treated with dignity and respect and encouraged to maintain their independence.

People’s choices were promoted, and staff worked within the principles of the Mental Capacity Act 2005

Staff showed kind and caring attitudes to the people that they supported.

The care and support people received reflected their personal needs and preferences.

Processes were in place to monitor and improve the quality of the service.

There was a culture of openness and lessons were learnt when things went wrong to continuously improve the service.

Rating at last inspection:

At the last inspection the service was rated Good. However, we found the service was not consistently well led and this key question was rated as Requires Improvement (The last report was published on 16 May 2018). We found that improvements had been made and the service is now rated good in all key areas.

Why we inspected:

This was a planned inspection to check that this service was meeting the regulations.

Follow up:

We did not identify any concerns at this inspection. We will therefore re-inspect this service within our published timeframe for services rated good. We will continue to monitor the service through the information we receive. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk