3 March 2020
During a routine inspection
Ocean Health Care (“Ocean”) is a care at home service providing personal care and nursing care to one adult and 14 children in their own homes. All those who are cared for by the service have complex, sometimes life limiting, conditions.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to 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 and what we found
People had their medicines administered safely, however there needed to be some improvements to ensure the systems and recording were safe.
People received care that was personalised to their needs and preferences. This was assessed and planned with full involvement of the parent or carers. The parent or carers felt people were safe being cared for by the staff and that the staff were kind, caring and compassionate.
The systems of leadership and governance had been developing over the past 11 months since the service opened. People received good care and achieved personalised outcomes. The registered manager and provider were reflective in their approach and open to feedback in their drive to continually improve the quality of the service. They told us that improvements were still needed to embed this.
People’s care, and managing any risks, was planned with their parent/carer and where required with their key professional. Regular reviews took place and communication to staff, relatives and professionals had improved to ensure the details were up to date.
Staff worked closely with the parent/carer and key professionals to ensure health, food and fluid needs were met.
The one adult 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. Staff worked alongside the parents of the children to ensure parental responsibility was respected.
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 28 March 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the service’s registration date.
We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.
Enforcement
We have identified a breach in relation to the records and systems in respect of medicines during this 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.