22 April 2021
During an inspection looking at part of the service
People’s experience of using this service
Feedback from people using the service and their relatives was positive about the care and support they received from carers. They told us they felt safe in the presence of carers and there were no concerns about their safety. The provider worked with partner agencies to investigate any safeguarding concerns and used these as a way to learn and improve how they delivered care to people.
There were robust recruitment procedures in place which meant that people were cared for by carers who were vetted properly. Carers were given adequate breaks whilst living with people.
People were supported to take their medicines from carers who had been given the relevant training. Risks to people were identified and the assessments which looked at how the risk could be managed were reviewed on a regular basis. We have made a recommendation to the provider to consider using standard assessment tools to support any judgement relating to risk.
The provider had robust procedures in place for the management of COVID-19. Carers were supplied with adequate personal protective equipment and were subject to regular testing.
Carers received a through induction and ongoing training which meant they were competent to carry out their duties. They were also subject to regular spot checks and supervision to monitor their competency and to give them an opportunity to provide feedback.
The service was well-led. There was a culture of improving through learning. The registered manager was aware of her regulatory responsibilities and encouraged feedback from people, relatives and carers. Robust quality assurance checks were in place which identified any areas of improvement, the provider had an ongoing improvement plan which helped to ensure a good quality of service to people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update.
The last rating for this service was good (published 4 April 2019).
Why we inspected
We received some concerns in relation to the management of the service. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
We also used a targeted approach to look at specific concerns we had about staff training and support under the Key Question of Effective. As we only looked at part of Effective, we have not changed the rating from the previous inspection for this Key Question.
We reviewed all the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for the key questions of Effective, Caring and Responsive were used in calculating the overall rating at this inspection.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.