Background to this inspection
Updated
27 April 2016
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.
The inspection team consisted of an 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. We spoke with two people who used the service. A third person we spoke with had recently left the service.
We looked at the care plans of three of the people who used the service at the time of our inspection. We spoke with six care workers employed by the service. We looked at three staff recruitment files to see how the provider recruited and appointed staff. We also looked at the records the registered manager provided concerning their procedures for monitoring the quality of the service and evidence of staff training.
Before the inspection we reviewed notifications that we had received from the provider. A notification is information about important events which the service is required to send us by law. We also reviewed 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.
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Updated
27 April 2016
We carried out the inspection on 23 March 2016. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in available. This was the first inspection of the service since it registered in 2015
The service is a home care agency that provides live in carers to people. The cares provide personal care to people in their own homes. At the time of our inspection there were seven 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 2008 and associated Regulations about how the service is run.
People told us they felt safe with staff in their own home. Risks were assessed and managed, there was information available to staff about what to do in an emergency. Staff received training and understood their responsibility to keep people safe.
People were supported to receive their medicines as and when they needed.
People were supported to remain independent and staff always obtained permission from people before giving people care.
The registered manager and the staff team understood and followed the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
The registered manager had assessed the care needs of people using the service. Staff had a clear understanding of their role and how to support people who used the service as individuals. People’s needs were kept under review and plans were changed to reflect changing needs.
Staff were able to develop meaningful relationships with people and knew them well. People received consistent care that was delivered by staff who understood their role and received the training to carry it out to a good standard.
People were supported to maintain their health and wellbeing. People’s health needs were met and when necessary, outside health professionals were contacted for support.
Staff felt supported by the registered manager. Staff received regular supervision from the registered manager and were regularly checked for their competency to carry out their role. People who used the service felt they could talk to the registered manager and had confidence concerns would be acted upon.
People felt the service was well managed. There were systems in place to monitor the quality of the service.