Updated 31 January 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 homes.
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 6 January 2023 and ended on 17 January 2023. We visited the location’s office on 9 January 2023.
What we did before the inspection
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 which took place on 13 October 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with the director who is also the registered manager. We reviewed a range of records. This included 2 people’s care plans and 1 person’s Medication Administration Record [MAR]. We looked at 2 staff files in relation to recruitment, training and supervision. We looked at a sample of the service’s quality assurance systems including medication and care plan audits.
Following the inspection to the domiciliary care service, we continued to seek further clarification from the registered manager to validate evidence found. We spoke to a further 2 members of staff via email correspondence, 1 person using the service and 1 relative to obtain feedback of their experience.