Inheritance Medical Limited

Updated 2 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: This inspection was carried out by one inspector.

Service and service type: Inheritance Medical is a domiciliary care agency. It provides personal care to older adults and younger adults with a physical disability living in their own houses. At the time of the inspection there were three people who received personal care.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available.

Inspection site visit activity started on and 5 March 2019 and ended on 7 March 2019. We visited the office location on 5 March 2019 to see the registered manager and office staff; and to review care records and policies and procedures. On 7 March 2019 we made calls to a relative and staff.

What we did:

Before the inspection, the provider completed a Provider Information Return (PIR). This 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. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We contacted Healthwatch Leicestershire. Healthwatch is an independent consumer champion created to gather and represent the views of the public. Healthwatch plays a role at both national and local level and makes sure that the views of the public and people who use services are considered. We also contacted the local authority for feedback.

During the inspection we spoke with one relative of a person who used the service. We had discussions with three staff members including the registered manager and two care and support staff.

We looked at the care and medication records of two people who used the service. We also examined records in relation to the management of the service such as staff recruitment files, quality assurance checks, staff training and supervision records, safe guarding information and accidents and incident information.

Following inspection, we requested and received.

• Safeguarding policy

• Staff rotas

• Mental capacity assessment forms

• Communication policy

• Medication Policy

• Equal Opportunities and Diversity Policy

• Staff handbook

• Service user guide

Updated 2 April 2019

About the service: Inheritance Medical is a domiciliary care agency. It provides personal care to older adults, older adults living with dementia and younger adults with a physical disability living in their own houses.

People’s experience of using this service:

• People were safe. Staff were trained in how to recognise signs of abuse and were clear on how to report concerns.

• Risk assessments were in place and regularly updated to ensure safe care.

• Medicines were managed safely, and people received their medicines when they needed them.

• Safe recruitment processes ensured only suitable people were employed by the service. Staff were well supported and had received training that ensured they had the skills they needed to do their job.

• People were protected from infection by staff who understood the importance of thorough handwashing and maintaining a clean environment alongside using protective personal equipment (PPE).

• Person centred care plans were reviewed regularly and included people’s lifestyle choices, religion and culture. People and their relatives were fully involved in the planning of their care. The registered manager regularly delivered care themselves, this meant they maintained good oversight of the quality of the service and changes in peoples needs.

• People could be assured that they would be supported with enough to eat and drink. Likes, dislikes, cultural needs and specialist support were all considered and planned into care.

• People were supported by staff who were kind, caring and respected people’s privacy and dignity.

• People were receiving care and treatment in line with guidance and the law and were supported in the least restrictive way possible with their choices respected.

• There was an open and honest culture and a complaints procedure was in place. When a concern was raised it was managed promptly and professionally.

• Information could be made available in different formats such as large print and easy read for people who needed it to ensure they were fully informed about their care.

Rating at last inspection: The service was new, this was a first comprehensive inspection.

Why we inspected: This was a scheduled first inspection. The service is rated good overall.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any information of concern is received, we may inspect sooner.

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