Background to this inspection
Updated
8 August 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 checked 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 comprehensive inspection took place on 22 and 25 June 2018 and was announced. The provider was given 48 hours' notice because we needed to be sure that someone would be in the office to assist us with our inspection.
One inspector carried out the inspection.
Before the inspection, we asked the provider to complete a 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. We reviewed the completed PIR and considered this when we made our judgements.
We checked the information we held about the service including statutory notifications. A notification is information about important events, which the provider is required to send us by law.
During this inspection, we spoke with three people using the service and four relatives. We also had discussions with the registered manager and the deputy manager and four care and support staff.
We reviewed the care records of four people that used the service, looked at four staff files and reviewed records relating to the management of medicines, complaints, training and how the registered person monitored the quality of the service.
Updated
8 August 2018
At the last comprehensive inspection on 26 February 2016 the service was rated Good.
At this announced inspection on 22 and 25 June 2018 the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This service is a domiciliary care agency. It provides personal care to people living in their own houses.
Rehoboth Health and Homecare provides personal care and support to people so they can continue to live in their own homes. At the time of our inspection there were 18 people using the service.
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 continued to feel safe when staff provided them with care and support. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff who were employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.
Systems were in place to ensure that people were protected by the prevention and control of infection. There were arrangements for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service
People’s needs and choices were assessed and their care provided in line with best practice that met their diverse needs. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people.
People received enough to eat and drink and staff gave support when required. People were supported to use and access a wide variety of other services and social care professionals. The staff had a good knowledge of other services available to people and we saw these had been involved with supporting people using the service. People were supported to access health appointments when required, to make sure they received continuing healthcare to meet their needs.
People's consent was gained before any care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
Staff provided care and support in a caring and meaningful way. People were given choices about their day to day routines and about how they wanted their care to be delivered. People’s privacy and dignity was maintained at all times.
The provider understood their responsibility to comply with the Accessible Information Standard (AIS), which came into force in August 2016. The AIS is a framework that makes it a legal requirement for all providers to ensure people with a disability or sensory loss can access and understand information they are given.
People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. Records showed that people and their relatives were involved in the care planning process. There was a complaints procedure in place to enable people to raise complaints about the service.
People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt well-supported and received supervision that gave them an opportunity to share ideas, and exchange information.