28 Greenway

Updated 28 December 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes. There were two people receiving personal care at the time of our inspection.

The service had a manager, (who was also the provider) registered with the Care Quality Commission. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service two working days’ notice of the inspection. This was because it is a small service and we needed to be sure the provider/registered manager would be in the office to support the inspection.

Inspection activity started on 3 December 2019 and ended on 9 December 2019. We visited the office location on 3 December 2019 and spoke to one relative and one staff member on 9 December 2019.

What we did before the inspection

The provider/registered manager was not asked to complete a provider information return prior to this inspection. This is information we require them to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we held about the service such as notifications. These are events which happened in the service that the provider/registered manager is required to tell us about. We sought feedback from the local authority who monitor the care and support people received and Healthwatch Derbyshire. 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 all this information to plan our inspection.

During the inspection

We spoke with the registered manager and reviewed a range of records about people's care and how the service was managed. This included one person’s care records. We also looked at associated documents including risk assessments. We looked at staff training records and the recruitment checks carried out for the new staff employed at the service. We also looked at a sample of the providers quality assurance audits that had been completed.

After the inspection

We spoke with a relative of one of the people using the service and one staff member. The provider/registered manager also provided us with further evidence to demonstrate compliance with the regulations.

Updated 28 December 2019

About the service

28 Greenway is a domiciliary care agency providing community support and personal care to people living in their own homes in and around Hulland Ward, Ashbourne, Derbyshire. The provider/registered manager had been operating 28 Greenway since November 2017 and had been providing care and support packages since July 2019.

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 visit two people were receiving the regulated activity, personal care.

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

People were safe with the staff who supported them, and staff knew their responsibilities for keeping people safe from harm or abuse. Risks presented to people had been properly assessed and managed. A medicine policy and protocol were in place, and training in the safe handling of medicines had been arranged for when people needed support with their medicines. There were enough staff available to meet people’s needs and new staff had been suitably recruited. The provider/registered manager explained if anything went wrong, lessons would be learned to continually improve the service provided.

People’s needs had been assessed prior to their care and support package commencing. This made sure the staff team could meet their needs. Staff had received an induction when they first joined the service and were working through the provider/registered managers training programme. People’s dietary requirements had been assessed during the assessment process and staff made sure people had the fluids they needed to keep them well. Staff were observant regarding people’s health and wellbeing and told us they would not hesitate to report any changes to the provider/registered manager, so they could refer them the relevant healthcare professionals.

Staff were kind, caring and respectful. They supported people to make decisions about their care and always obtained their permission before supporting them. 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 had been involved in developing their plans of care with the support of their relatives. Plans of care included their personal preferences and how they wished their care and support to be provided. People were provided with a copy of the provider/registered managers complaints policy and this included details of who to contact if they were ever unhappy with the service provided. People’s wishes at the end of their life had been explored and recorded in their plan of care.

Staff felt supported by the provider/registered manager. People, their relatives and staff were involved in how the service was run using surveys and day to day conversations. Auditing systems were being developed to enable the provider/registered manager to monitor the service being provided. They worked in partnership with others to make sure people received safe care and support.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 03/11/2017 and this is the first inspection.

Why we inspected

This was a planned inspection based on our inspection schedule

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.