Background to this inspection
Updated
17 December 2021
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
This 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.
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. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers 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 used all of this information to plan our inspection.
During the inspection-
We received feedback from the person receiving a service, their relative and two social care professionals. We also spoke with the registered manager and two staff.
We reviewed a range of records. This included care records for the person using the service. We looked at two staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
17 December 2021
About the service
Ocala is a domiciliary care service providing personal care to people in their own homes. Not everyone who used the service received personal care. 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 this inspection there was one person using the service in receipt of personal care.
People’s experience of using this service and what we found
This was a bespoke care service supporting people with large care packages across a 24-hour period, with designated staff trained. Specialist training was provided to meet people's assessed needs.
Systems were in place to ensure the person remained safe. Risks to the person had been adequately planned for and guidance for staff in place to reduce these risks. Staff had the knowledge, skills and training to provide the person with appropriate support.
The registered manager and staff understood their responsibilities to recognise abuse and keep people safe. Safeguarding incidents were appropriately investigated, and records maintained.
There were sufficient staff who had the necessary skills and knowledge to meet people's needs and provide care and support in ways that people preferred.
There were systems in place in the management of COVID-19, training for staff, access to PPE and regular testing of staff.
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.
The registered manager promoted a strong culture of putting people at the centre of what they do, and staff treated people as individuals. The person and their relative told us they were treated with kindness and respect by staff.
The registered manager was committed to providing a good quality service and developing the service in line with best practice. They understood the importance of quality monitoring and how to use this to drive improvements. There were clear systems in place to audit the quality of care delivered to people. Staff and people using the service were invited to give feedback on their experiences.
Feedback from social care professionals told us the registered manager was professional, open and transparent and worked flexibly to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection This service was registered with us on 06/06/2018 and this is the first inspection.
Why we inspected
This was a planned first rating, comprehensive inspection.
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.