Background to this inspection
Updated
4 June 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
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides live-in care services to people living in their own homes.
The service had a manager in post who had applied to register with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced.
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 manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we held about the service and the provider. 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 spoke with the provider, the 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 two people's care records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with two people’s family members who spoke to us on their behalf about their experience of the care provided. We did this because some people who used the service had difficulties speaking with us by using the telephone. We spoke with two members of staff.
Updated
4 June 2021
About the service
Spring Retirement Limited is a domiciliary care agency which provides personal care and support to people who live in their own homes across the country. The service provides live-in care staff.
The service is registered to support younger adults, older adults, people living with dementia, physical disability and sensory impairment. At the time of the inspection the service were providing personal care to five 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 and what we found
People received safe care and support by staff that were trained, experienced and understood how to keep people safe from harm. Risk assessments were in place and showed what action had been taken to mitigate identified risks.
The provider followed safe recruitment processes.
Where required people received their medicines safely. Staff were trained to administer medicines and complete medicine administration records (MARs) fully which identified people had been receiving their medicines as prescribed.
Safe practices were followed to reduce the risk of infection. Staff wore personal protective equipment (PPE) in line with current guidance. The manager reviewed any accidents and incidents ensuring any lessons learnt were acted on and shared with the staff team.
Where required people were supported by staff to eat and drink enough to maintain a healthy balanced diet.
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’s health needs were met as staff and the management team had a detailed knowledge of the people they were supporting. Staff and managers engaged with healthcare professionals where required to ensure people’s identified health care needs were met.
Staff had developed good relationships with the people they were supporting. This was supported by care plans that were personalised to each individual. Care plans contained detailed information to assist staff to provide care in a way that respected individual’s needs and wishes.
People and their relatives had access to information on how to raise any complaints. Procedures were in place for the manager to monitor, investigate and respond to complaints in an effective way.
The provider’s quality monitoring processes included regular checks to ensure good quality care was provided 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 15/05/2019 and this is the first inspection.
Why we inspected
This was a planned 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.