Updated 2 December 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 31 October 2023 and ended on 8 November 2023. We visited the location’s office on 2 November 2023.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of our monitoring activity to help plan the inspection and inform our judgements.
We reviewed information we received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We reviewed the current statement of purpose, the most recent direct monitoring activity, quality monitoring documents including spot checks and an annual quality monitoring survey. We used all this information to plan our inspection.
During the inspection
We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with the registered manager and two people who used the service. We reviewed three staff recruitment files, two care plans and the training programme. We looked at staff supervision and team meetings. We reviewed medication records and daily log notes.