Background to this inspection
Updated
14 May 2021
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 Care Act 2014.
Inspection team
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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
This inspection was announced.
We gave the service 24 hours’ notice of the inspection. This was because the service has been operating during COVID-19 from their own homes and we wanted to be sure the registered manager would be available at the office location to speak with us and support the inspection.
Inspection activity took place on the 8 April 2021 when we visited the office location.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed the previous inspection report and action plan sent to us by the provider. We also looked at information we had received about the service since the last inspection. This included notifications the provider is required to send us by law.
During the inspection
During our inspection we met with the registered manager who is also the owner of the agency. We also met with the acting human relations manager. We reviewed three people’s care records and partially reviewed a fourth care record. We looked at two staff training records and a variety of training related documentation.
After the inspection
We were provided with and reviewed a range of records related to the management of the service. We continued to seek clarification from the provider to validate evidence found.
We contacted seven health and social care professionals and four responded. We wrote to three care staff and received two replies. We telephoned and spoke with one relative who had agreed to speak with us.
Updated
14 May 2021
About the service
Rockware Business Centre is a domiciliary care agency operated by Solutions Social Care Limited. They provide personal care in people's own homes and in the local community. Whilst the agency is registered to provide a service to children above the age of 13, younger and older adults, some of whom might live with dementia and disabilities, their focus was working with children and people who had learning disabilities and autism.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection five people were receiving personal care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People had detailed person-centred support plans which stated their preferences. Staff were provided with training to equip them to understand people’s behavioural support needs and to support people in a positive and proactive manner.
The registered manager and management team had systems and processes in place to allow them to monitor and have oversight of the quality of the service being provided. They provided staff with support which included supervision.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The care provided by staff maximised people’s choice, control and independence. Care plans were person-centred and promoted their dignity, privacy and human rights. The ethos, values, attitudes and behaviours of the managers and care staff ensured people using services led confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 15 October 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions effective, responsive and well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rockware Business Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.