Right at Home Stockport & Didsbury

Updated 12 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. Following the visit to the location office, an Expert by Experience completed telephone calls to people and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we wanted to be sure there would be people at home to speak with us. Inspection activity started on 6 December 2022 and ended on 9 December 2022. We visited the location’s office on 6 December 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who worked with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included 3 people's care records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed. We spoke with 4 people who used the service and 10 relatives about their experience of the care provided. We spoke with 8 members of staff including the registered manager, the quality and compliance manager, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 12 January 2023

About the service

Right at Home Stockport and Didsbury is a domiciliary care service providing personal care to people in their own homes. 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 there were 34 people receiving personal care.

People’s experience of using this service and what we found

Care plans were comprehensive, detailed and contemporaneous which detailed people’s current care needs and included how to safely manage any identified risks. Medicines were managed safely by trained staff. There was a safeguarding policy in place and staff knew how to identify and report any concerns. Safe recruitment checks were in place.

Staff underwent a comprehensive induction and received a wide-ranging programme of training and competency checks. People were supported to access healthcare and the service ensured appropriate and timely referrals were made to other agencies and professionals.

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 received compassionate care from kind and caring staff. Staff talked about people in a kind and respectful manner and were passionate about providing good care. People were treated with dignity and respect.

Care information available to staff was detailed and very explanatory for staff to know people’s care needs. Any changes were reviewed and updated to ensure plans reflected current need. Staff were aware of people’s needs and their individual preferences for care. People received good end of life care from trained and compassionate staff who worked closely with other health professionals.

The registered manager had good links with other organisations and community groups. They worked closely with the local college to provide care apprenticeships. Management systems, such as audits and quality assurance, were actively used to monitor and continuously improve 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

The last rating for this service was good (published 16 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about visiting times and durations. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Right at Home Stockport and Didsbury on our website at www.cqc.org.uk.