Background to this inspection
Updated
8 June 2019
This 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: 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 houses.
There was a registered manager in post. A registered manager 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 it is small, and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. Inspection site visit took place on 15 May 2019. We visited the office location and saw the care manager, care coordinator and a field coordinator to review care records and other documents. Following this visit we spoke with five people, three relatives and six staff members on the telephone.
What we did: We reviewed information we had received about the service since the previous inspection. This included details about incidents the provider must notify us about, such as allegations of abuse and we sought feedback from the local authority.
We looked at records of three people to see how their care was planned and delivered. Other records looked at included four recruitment files to check suitable staff members were recruited and received appropriate training. We also looked at records relating to the management of the service.
Updated
8 June 2019
About the service: Radfield Home Care Worcester is a domiciliary care agency. It provides personal care to people in their own houses or flats. At the time of the inspection there were 26 people receiving personal care.
Not everyone using Radfield Home Care Worcester receives regulated activity; the CQC only inspects the service being received by people provided with ‘personal care’; help with tasks relation to personal hygiene and eating. Where they do we also take into account any wider social care provided.
People’s experience of using this service:
People were happy with the service they received and liked the staff who they found to be kind and caring. People felt safe while receiving care and support. Management and staff had an awareness of their responsibility regarding reporting any actual or suspected abuse.
People received a consistent and reliable service, provided by staff who they were familiar with.
Risks to people’s care were assessed and reviewed in the event of changes. These assessments provided guidance for staff and involved people and family members. Care plans were detailed, and person centred to match the individual needs of people using the service.
People were supported with their medicines as prescribed. People received the care and support they needed to ensure they received meals and assistance with their healthcare needs.
Checks were made before staff commenced working with people. Staff undertook shadowing experiences with more experienced members of staff to introduce them to people and their role.
Staff and management worked with other agencies and professional. Staff received induction training and ongoing training to meet the needs of the people they supported. The care manager was aware of where some staff needed to undertake refresher training. A new training facility was in progress in order to provide staff with local training.
People were treated with respect and dignity and could make choices about their care and support. Staff ensured people consented to care being given. Staff had knowledge about infection control procedures and used protective equipment to reduce the risk of cross infection.
People and their relatives told us any concerns or complaints made would be listened to. Staff felt well supported by the management. The provider had systems in place to monitor the service.
Rating at last inspection: This was the first inspection since a change in provider registration.
Why we inspected: This was a planned inspection based on the date of the provider’s registration with the Care Quality Commission.
We found the service met the requirements for ‘Good’. The overall raring of the service was ‘Good’.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Follow up: We will continue to monitor intelligence we received about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.