Unit 22, Rosehill Business Centre

Updated 24 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team:

The inspection team consisted of one inspector and an expert-by-experience. 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:

Unit 22, Rosehill Business Centre is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to people who are living with dementia, have an eating disorder, learning disabilities, are detained under the mental health act or people who may misuse alcohol or substances.

The service had a registered 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 hour's notice of the inspection visit because the manager was often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

Inspection activity started on 10 April 2019 when we made telephone calls to relatives and staff. It ended on 11 April 2019 when we visited the office location to see the manager and review records.

When planning our inspection, we looked at the information we held about the service, which included any notifications that the provider is required to send us by law. The provider had not been sent a Provider Information Return. 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. We gave the provider the opportunity to discuss this during our inspection.

During the inspection we spoke with one relative. We were unable to speak with the two people who used the service due to their communication difficulties. We met with the registered manager, the care co-ordinator and spoke with one staff member by telephone. We reviewed care plans and records for two people and looked at records in relation to the management of the service. These included two staff recruitment and training records, key policies and procedures and quality assurance systems and processes.

Updated 24 May 2019

About the service: Unit 22, Rosehill Business Centre is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to people detained under the Mental Health Act, people who misuse drugs or alcohol, people with an eating disorder, learning disability or people who are living with dementia. Not everyone using receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection there were two people using the service.

On this inspection we were unable to provide the service with a rating. This was because the service had not been providing care and support to enough people over a long enough time period for us to review.

What life is like for people using this service:

There were safeguarding systems and processes in place that sought to protect people from harm. The registered manager and staff member knew the signs of abuse and what to do if they suspected it. There were systems in place to monitor people's safety which included risk assessments. Risk assessments required more detailed information to clearly demonstrate how risks had been assessed and the measures required to reduce the risk of harm. Staff were provided in sufficient numbers to meet people's needs and were safely recruited. The registered manager analysed incidents to ensure lessons were learnt.

The registered manager undertook assessments before people began to use the service to ensure they could meet people's needs. The registered manager and a staff member were the only people providing care and support. They had undertaken training to give them the skills and knowledge they needed to support people safely. People were supported to have choice in their daily lives and care and support was provided in the least restrictive way possible. The registered manager liaised with other agencies to ensure they received effective, timely care.

People received care from the registered manager and staff member who were kind, caring and compassionate. People and their relatives were supported to express their views and be involved in decisions about their care and support. People's right to privacy and to be treated with dignity and respect was upheld and protected.

People received personalised care, though care plans and records did not include the detailed information required to reflect this. The provider had a complaints policy and procedure in place which supported and encouraged people to raise concerns and make complaints.

The relative we spoke with felt the service was well managed. The staff member knew their role and what was expected of them. The provider and registered manager were aware of systems required to measure the quality of the service provided. However, at the time of our inspection there was insufficient information to enable them to evaluate the quality of the service. The provider was clear on how they wanted to develop and improve the service.

Rating at last inspection: This was the first inspection of the service since they registered with the Care Quality Commission.

Why we inspected: This was a scheduled inspection.

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