Updated 25 June 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.
This inspection visit took place on 26 and 27 April 2016 and was announced. We gave the provider four days’ notice because the location provides domiciliary care to people living in their own homes, and we needed to be sure that people who used the service and staff were available to speak with us. At the time of our inspection 306 people were using the service.
The inspection team consisted of 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. The expert by experience did not attend the office base, but spoke with people who used the service by telephone.
We used a range of different methods to help us understand people’s experience of using the service. We visited two people in their own homes and spoke with 20 people by telephone and two relatives. We sent out questionnaires to people who used the service and staff, and used this information to make a judgement about the service. We spoke with seven care staff and one field care supervisor and a care co-ordinator, the registered manager, and the operations support manager.
We checked the information we held about the service and the provider. This included notifications that the provider had sent to us about incidents at the service and information we had received from the public. We also reviewed the current monitoring information from the local authority and commissioners. We used this information to formulate our inspection plan.
We also had a provider information return (PIR) sent to us. A PIR is a form that asks the provider to give some key information about the service. This includes what the service does well and improvements they plan to make. As part of our planning, we reviewed the information in the PIR.
We looked at the care plans of seven people to see if they were accurate and up to date. We reviewed two staff files to see how staff were recruited and checked the training records to see how staff were trained and supported to deliver care appropriate to meet each person’s needs.
We also looked at records that related to the management of the service. This included the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement.