Background to this inspection
Updated
3 January 2020
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 was carried out by one inspector.
Service and service type:
Transform Homecare North West Surrey is a domiciliary care agency which provides personal care and support for people 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 we needed to be sure that the provider or registered manager would be in the office to support the inspection. We visited the office location on 10 December 2019. We carried out telephone calls to people and their relatives on 12 December 2019.
What we did:
We reviewed information we had received about the service since registration. This included details about incidents the provider must notify us about, such as abuse or when a person dies. 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 contacted healthcare professionals for feedback. We received feedback from a social care development co-ordinator. We took this information into account when we inspected the service and made the judgements in this report.
During the inspection
During the inspection, we spoke with three people who used the service, a relative, three care workers, a senior care worker, a supervisor, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included four people's care records, risk assessments, daily records and medicine records. We also looked at three staff files including their recruitment and supervision records. We reviewed records relating to the management of the service including; quality assurance records and a variety of policies and procedures implemented by the provider.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received the training data, staff meetings minutes and surveys completed by people and their relatives to share their views, which were sent to us in a timely manner.
Updated
3 January 2020
About the service:
Transform Homecare North West Surrey is a domiciliary care agency providing personal care and support for people in their own homes. The agency provides care and support for people in North West Surrey areas. This included older people, people with learning disabilities and mental health. At the time of our inspection, the service was supporting 39 people.
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.
People’s experience of using this service:
People received safe care and support from Transform Homecare North West Surrey. One person said, “Yes, I feel 100% safe with the carers.” The registered manager and staff we spoke with knew what their responsibilities were in relation to keeping people safe from the risk of abuse.
Care plans contained detailed risk assessments. Risk to people’s health and wellbeing were addressed and mitigated. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.
Robust recruitment processes were in place. This prevented unsuitable staff from working with vulnerable adults. People told us staff were reliable and consistent. Staff were skilled in carrying out their role. The registered manager ensured staff were appropriately trained.
People told us staff communicated well with them and they felt at ease with them. People were cared for by staff who treated them with kindness, dignity and respect. Staff were committed to providing person centred care and respected people’s individual preferences.
People’s needs were assessed prior to receiving a service including their protected characteristics under the Equalities Act 2010.
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.
People were encouraged to raise any concerns they had or make suggestions to improve the service they received.
The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided. Staff told us there was an open culture where they were kept informed about any changes to their role. Staff and people told us the registered manager was approachable and listened to their ideas and suggestions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was Good (published 7 November 2017). Since this rating was awarded the service has moved premises. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned 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.