Updated 26 February 2019
The inspection:
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.
Inspection team:
The inspection team consisted of two adult social care inspectors 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. Their area of expertise is with domiciliary care services and residential care services.
Service and service type:
The service is a domiciliary care service and provides the regulated activity of personal care to people in their own homes. For domiciliary care services, CQC does not regulate the accommodation people live in and for this reason we have only looked at the care people received. At the time of the inspection the service was provided to people living in the inner city area of Bristol.
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:
The inspection of the service was announced. We gave the service 48 hours’ notice of the inspection visit because it is small and we needed to ensure the registered manager and other key people in the service were available to speak with us.
Inspection site visit activity started on 23 January 2019 for one day. It included conversations with the registered manager, the deputy, the business manager, the HR manager and the two care coordinators. We reviewed care records, staff recruitment files and training records, the policies and procedures of the service and their audit arrangments.
What we did when preparing and carrying out this inspection:
Prior to the inspection we reviewed information we had received about the service since the last inspection. This included details about any incidents the provider must notify us about. We asked social care professionals for their views and experience of working with the service and have included their comments in the report.
During the inspection we spoke with seven people who used the service and five relatives. We received feedback from eight care workers. We reviewed a range of records. This included five people’s care records, medicines records, 15 staff recruitment and training records and other records relating to the management of the service.