Background to this inspection
Updated
23 May 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 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 comprehensive inspection took place on 10 and 24 April 2018 and was announced. It was undertaken by one inspector and an assistant inspector (shadowing only). We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure that staff would be available.
Inspection site visit activity started on 10 April 2018 and ended on 24 April 2018. It included visits to the office, staff interviews and telephone interviews of staff and people who use the service and relatives of people. We visited the office on both days to see the registered manager and office staff; and to review care records, policies and procedures and records relating to the management of the service.
Before our inspection we looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. We looked at the provider information return (PIR) which was submitted to the Care Quality Commission on 11 January 2018. This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.
We asked for feedback from representatives of a local authority contracts team and quality improvement team, Healthwatch, a local authority commissioner - learning disabilities, and local safeguarding team. Any information received was used in planning this inspection.
During our inspection we spoke with four people and a relative of a person using the service by telephone. We also spoke with the owner of the company (nominated individual), the registered manager, a care supervisor, a senior care worker (by telephone) and two care workers (one by telephone). We looked at two people’s care records; records relating to staff recruitment and training; complaints records; accidents and incidents; medication administration records; and records relating to the management of the service including audits.
Updated
23 May 2018
Greenwood Homecare Peterborough is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service, including a ‘live in’ care workers service (this means that there are staff supporting people 24 hours a day, seven days a week) to both older and younger adults.
This is the first inspection of this service since they registered with the Care Quality Commission (CQC) in March 2017. This announced inspection took place on 10 and 24 April 2018. There were 19 people supported with the regulated activity of personal care during this inspection.
Why the service is rated good.
The Care Quality Commission (CQC) records showed that 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.
Staff had an adequate understanding of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff knew how to report any suspicions of harm and poor care practice.
People were supported by staff to take their prescribed medication safely. Processes were followed by staff members to ensure that infection prevention and control was promoted and the risk of cross contamination was reduced when supporting people in their own homes.
People were supported by staff with their care needs in a caring, and respectful manner. People’s dignity and privacy was maintained and promoted by the staff members supporting them.
People and their relatives’ were involved in the setting up and review of their or their family member’s individual support and care plans. People were supported by staff to have enough to eat and drink.
People were assisted to access a range of external health care professionals to maintain their health and well-being. Staff and external health care professionals would when required, support people at the end of their life, to have a comfortable and as dignified a death as possible.
People had individualised care and support plans in place which documented their needs. These plans informed staff on how a person would like their care and support to be given, in line with external health and social care professional advice.
There were enough staff to meet people’s individual care and support needs. Individual risks to people were identified and monitored by staff to allow them to live as independent and safe life as practicable. Staff were only employed within the service after all essential checks had been suitably completed. Staff were trained to be able to provide care which met people’s individual needs. The standard of staff members’ work performance was reviewed through spot checks and supervisions.
Complaints received were investigated and responded to. Actions were taken to reduce the risk of recurrence. The registered manager sought feedback about the quality of the service provided from people. There was an on-going quality monitoring process in place to identify areas of improvement needed within the service.
Further information is in the detailed findings below.