Background to this inspection
Updated
16 April 2019
The inspection:
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.
Inspection team:
Our inspection was completed by one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults and people with dementia.
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:
Our inspection was announced. This means we gave the service 48 hours' notice of the inspection visit because staff were often out of the office supporting staff or providing care. We needed to be sure that they would be in.
What we did:
¿ Our inspection was informed by evidence we already held about the service. We also checked feedback we received from members of the public and local authorities.
¿ We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
¿ During the inspection, we spoke with one person using the service and a relative of another person. We spoke with one care staff, the registered manager and the nominated individual. The registered manager and the nominated individual also worked as care workers.
¿We reviewed two people's care records, two staff personnel files, audits and other records about the management of the service.
Updated
16 April 2019
About the service:
6 Celtic Farm Road provides personal care to people who live in their own homes. The service's office is based in Rainham, Havering, London. Care is provided in the London borough of Havering.
¿ At the time of our inspection, three people used the service and there were four staff.
People's experience of using this service:
¿ People received care and support that met their needs. People and their relatives told us staff assessed their needs and developed care plans before they started using the service.
¿ Staff attended adult safeguarding training and knew how to report any concerns of abuse.
¿ Risk assessments were completed for each person. These identified potential risks to people and provided guidance to staff on how to manage them.
¿ Staff promoted people's privacy, dignity and independence. Staff had good understanding of equality and diversity.
¿ There were enough staff to provide care and meet people's needs.
¿ Staff employed at the service were properly checked and were provided with induction, training, supervision and support to care for people effectively.
¿ Where people needed support with medicines, this was managed well.
¿ Staff knew how to reduce the risk of infections. They had access to personal protective equipment such as gloves, shoe covers and aprons.
¿ Staff knew how to help people access emergency medical services, when needed.
¿ Where required, staff supported people with meals that met their dietary preferences.
¿ There was good management system in place. The registered manager was supported by the provider, who also worked full time at the service.
¿ The registered manager had developed effective systems to assess and monitor the quality of the service.
¿ Staff continuously asked people and relatives what they thought about the service. The registered manager had developed survey questionnaires to be used as part of a formal quality assurance system.
¿ The service worked with care professionals to plan and deliver an effective service.
Rating at last inspection:
¿ This was the first inspection of the service. The service was registered on 12 March 2018.
Why we inspected:
¿ This was a planned inspection based on the registration of the service. We found the service met the characteristics of Good in all areas.
Follow up:
¿ We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care.
Further inspections will be planned for future dates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk