Background to this inspection
Updated
4 October 2022
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 undertaken by one 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there were two registered managers in post, who shared the management responsibilities.
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 18 August 2022 and ended on 6 September 2022. We visited the location’s office on 18 August and 6 September 2022.
What we did before the inspection
We reviewed information we had received about the service since their registration with the Care Quality Commission and sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with both registered managers and three care staff. We also spoke with three people who used the service and three relatives. We reviewed a range of records, including three people's care records and various medicines records. A variety of records relating to the management of the service, including policies and quality of the service, were reviewed.
Updated
4 October 2022
About the service
Compassionate Healthcare aka Scope House is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection 16 people were receiving personal care and support to remain as independent as possible. 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.
People's experience of using this service and what we found
People were positive about the care and support provided. There was a positive culture throughout the service which focused on providing person-centred care. People told us their privacy and dignity was respected and they were supported to be as independent as possible.
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. We have made a recommendation in relation to systems in place to assess mental capacity, to ensure there is a consistent approach, fully in line with The Mental Capacity Act 2005 (MCA).
Staff were trained in safeguarding and knew how to recognise signs of abuse and the action they needed to take to report any concerns. There were enough staff to support people safely. People received their medication safely and as prescribed.
People's individual risks around their health and wellbeing were assessed and managed. Care plans were in place, however, aspects of record keeping would benefit from further person-centred information being included and being kept fully up to date.
Staff undertook training which supported them in their roles. People felt able to raise concerns and had information about how to make a complaint if necessary.
The service was well-led. The management team had a clear strategy for developing the service. They focused staff training and good communication to help provide quality care. Staff were well supported, and effective systems were in place to monitor the quality of the service. The provider sought people’s feedback to help develop the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 July 2017 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Compassionate Healthcare Limited aka Scope House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.