Background to this inspection
Updated
22 April 2023
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2088 (the Act). We checked whether the provider was meting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or telephone calls to engage with people using the service and staff.
Performance review and assessment team
The performance review and assessment was carried out by 1 inspector.
Service and service type
This is a domiciliary care agency. It provides personal care to people living in their own homes.
Notice of performance review and assessment
This performance review and assessment was announced. We gave short notice on 15 March 2023 to the registered manager. This was so they would be available to support the performance review and assessment process.
Performance review and assessment activity started on 15 March 2023 and ended on 24 March 2023.
What we did before the performance review and assessment
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 reviewed the information we had received about the service since the previous inspection. We contacted the Local Authority and asked for feedback from them. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. We used all of this information to plan our inspection.
During the performance review and assessment
This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video calls, telephone calls and email to enable us to engage with people using the service and staff. We used electronic file sharing to enable us to review documentation.
We spoke with 4 people and 6 relatives to gain their feedback on the service. Additionally, we gained feedback from 7 care staff and spoke with the registered manager.
We reviewed a range of records. This included 4 people’s care plans and multiple records related to risk management, medicine administration. We looked at a variety of documents relating to the management of the service, including quality monitoring checks. We reviewed 4 staff recruitment files.
Updated
22 April 2023
About the service
Everycare Rugby & Warwickshire is a domiciliary care agency which is registered to provide personal care and support to people in their own homes. The service is registered to provide support to younger adults and older adults, people living with dementia, mental health needs and sensory impairments and people with a learning disability and autistic people.
At the time of our inspection the service was supporting 13 people; younger and older adults who were receiving personal care. People purchased individual packages of care to suit their own care and support needs. 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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the performance review and assessment, the service did not provide a regulated activity to anyone with a learning disability or autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a service for this population group.
Right Support:
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. Staff had been trained and completed agreed care and support tasks. Staff were recruited in line with the provider’s policy.
Right Care:
Staff knew people well and understood how to provide care in a person-centred way. People received consistency in the staff undertaking their care calls. Staff ensured people’s rights and dignity were promoted and protected. Infection, prevention and control was managed well. People said they felt safe with staff in their homes.
Right Culture:
The registered manager had good oversight of the service. Quality checks took place and improvements were made where needed. The registered manager and two business partners were committed to delivering a good service and frequently sought feedback from people, relatives and staff about how they felt things needed to improve. Staff were valued and said they felt supported by the management team. Staff felt proud to work for the company.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 August 2018).
Why we inspected
This performance review and assessment was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.