Background to this inspection
Updated
31 August 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. 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
The inspection team consisted of 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.
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 our 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.
Inspection activity started on 22 July 2019 and ended on 5 August 2019. We visited the office location on 30 July and 5 August 2019.
What we did before inspection
We spoke with the local authority safeguarding and commissioning teams to see if they held any information on 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.
During the inspection
During the inspection we spoke with the relative of the person who used the service. We spoke with the registered manager and another manager who worked for the service. We were unable to get in touch with any of the staff members who had provided regulated activities.
We reviewed one person’s care file, two staff files and reviewed management documentation such as training records, policies and procedures.
Updated
31 August 2019
About the service
The Enterprise Hub/Care Standards Limited is a domiciliary care agency. It registered in July 2018 and since registration has provided care to one person between April and June 2019. At the time of the inspection, the care package was currently suspended whilst the person was in receipt of healthcare services. As such, the service was not providing any care or support.
Because there was only limited care and support practice to review, we were unable to provide a rating for this service.
People’s experience of using this service and what we found
The relative of the person supported spoke positively about the service. They said it provided personalised care that met individual needs. They said staff were kind and caring.
Recruitment procedures needed to be more robust. We found one staff member had started work without a reference being received from their last employment in care.
People’s needs were assessed prior to using the service. This was used to create a detailed care plan, however, more information was needed on the exact tasks needed to provide at each care call.
There had been a strong focus on compatibility between the person and staff. For example, matches had been made based on language and culture to help ensure the person’s needs were met. The person’s diverse needs were taken into account.
There had been enough staff to ensure the person’s needs were met. Staff received a range of training and support relevant to their role.
The person was 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 person’s independence was promoted by the service.
The registered manager was committed to providing a personalised and friendly service. They had a good oversight of the service and understood in detail the needs of the person they were supporting.
Audit and checking procedures were being put in place as the service developed.
Rating at last inspection
This service was registered with us on 27 July 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
We have found evidence that the provider needs to make improvements. Please see the Safe section of this full report. You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will seek an action plan from the provider to ensure that robust recruitment procedures are followed in the future. We will follow up whether improvements have been made at our next inspection. 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.