Background to this inspection
Updated
7 August 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 30 April 2015 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service. This was to ensure that members of the management team and staff were available to talk to.
The inspection team consisted of one inspector.
Before we visited we reviewed the information we held about the service including notifications. Notifications are about events that the provider is required to inform us of by law. We looked at the Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Questionnaires were also sent out to people who used the service.
During our visit we spoke with two people who used the service, one relative, two care staff, one care co-ordinator and the registered manager.
We looked at the care plans for four people, the staff training and induction records for staff, two people’s medicine records and the quality assurance audits that the registered manager completed.
Updated
7 August 2015
We carried out an announced inspection of the service on 30 April 2015. There were breaches of legal requirements at our last inspection in February 2014 and we had been assured by the provider that improvements were made. During this visit we found improvements were maintained.
EBS Instant Care provides personal care and support to people in the Nottingham area. There were five people receiving care in their own homes at the time of our visit.
There was a manager registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe with the staff that cared for them. The provider had suitable arrangements in place to identify the possibility of abuse and to reduce the risk of people experiencing abuse. Staff were knowledgeable about how to recognise abuse and confirmed they had completed relevant safeguarding training.
People’s needs had been assessed and assessments were in place that identified potential risks for people. People’s home environment was assessed as safe and secure for staff to attend to people’s needs.
People felt supported by appropriately skilled and trained staff because the provider had a robust recruitment process in place. There were sufficient numbers of staff to cover calls in an effective and caring way.
People were supported to make informed choices and staff had awareness of the Mental Capacity (MCA) Act 2005. The Mental Capacity Act 2005 is designed to protect people who do not have the mental capacity to make certain important decisions for themselves. We found that the MCA was being adhered to.
People were supported to receive sufficient to eat and drink. Care plans contained individual information relevant to the person. People were encouraged to be independent and received relevant information on how the service was run. People felt that they could express their views about the service that they received.
People knew how to raise any concerns, they knew who they should contact and raise the concern with.
People received care which met their needs. They were treated with respect and the staff cared for people in a caring way.
Complaints and concerns were logged and monitored to ensure they were dealt with in a timely manner. Outcomes were reviewed to improve the practise and to reduce the risk of reoccurrence.
The service was monitored regularly by the registered manager to make sure a quality service was provided.