Background to this inspection
Updated
10 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
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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. This was because we needed to be sure that the provider or registered manager would be available at the office to support the inspection.
Inspection activity started when we visited the office location on 06 December 2019 and ended on 16 December 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We obtained feedback from the local authority and professionals who had knowledge about the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to help plan our inspection.
During the inspection
We spoke with four people who used the service and five relatives about their experience of the care provided. We spoke with four members of staff, the registered manager, and the provider. We received emailed feedback from three people/relatives.
We looked at records relating to people’s care, staff recruitment files and training. We looked at other records relating to the overall management of the service, including quality assurance and audits, staff support meeting minutes, and social events information.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with two professionals.
Updated
10 January 2020
About the service
Adico is a domiciliary care service. The service is registered to provide care and support for older people, some of whom may live with dementia and younger adults.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People told us they felt safe being cared for by staff from Adico. People were kept safe from harm. Staff demonstrated they knew the process to follow if they were concerned about people’s safety or if people may be at risk of abuse.
People had their individual risks assessed and where risks were identified. Measures were put in place to reduce the risk of harm. People’s medicines were managed safely, and people received their medicines regularly. Staff were aware of how to reduce the risk of the spread of infection and were provided with personal protective equipment.
Staff received induction and ongoing training and supervision and felt well supported. Where people were assessed as needing support with eating and drinking staff supported them. People were supported to access healthcare professionals when required. People had consented to their care, and staff were aware of people’s rights in relation to offering choices.
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 told us they felt the staff were caring and thoughtful. Feedback from people and relatives was positive. People’s dignity was maintained and peoples right to privacy was respected. Peoples personal information was stored securely to ensure it remained confidential.
People's needs were fully assessed before they started using the service. Care plans were developed and kept under regular review to ensure information remained current. People were encouraged and supported to participate in events organised by the provider and follow hobbies that were of interest to them People and their relatives were aware of how to raise concerns should the need arise. Many compliments had also been received by the service.
The provider had quality assurance systems and processes in place to assess the quality and make continual improvements. People, their relatives and staff members were positive about the way the service operated and was managed. People were asked their views and feedback obtained was analysed so that any shortfalls could be addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 18 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.