About the service Stay Independent at Home Scarborough is a domiciliary care agency. It provides personal care to people living in their own houses and flats to predominantly older people living in and around the Scarborough area. At the time of this inspection, 17 people were using the service.
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 told us they felt safe and staff were, without exception, kind, caring and friendly in their approach. Safeguarding processes were in place and staff were knowledgeable about how to raise any concerns. Additional measures had been put in place to ensure people and staff remained safe during the Covid pandemic, in line with government guidance.
Staff were familiar with the risk associated with people’s health conditions and the environment but this information had not always been recorded. We have made a recommendation about risk assessing.
Medicines were administered safely. Audits had identified some shortfalls with regards to administration instructions; this was being addressed at the time of the inspection.
Safe recruitment processes were in place and followed. New staff completed a thorough induction and were given shadowing opportunities. Relevant training had been provided to staff and staff told us they were very well supported by the provider.
Care plans contained person-centred information that focused on the individual and their likes, dislikes and preferences. Staff had taken action to ensure people received support from professionals to maintain their health and independence. People’s wishes with regards to end of life care had not been considered or recorded. We have made a recommendation about end of life care planning.
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. Signed consent was in place.
People knew how to raise any concerns or complaints and spoke positively of the provider and staff team. The provider visited people on a regular basis to ensure they were happy with the service provided.
A number of audits were used to monitor the quality and safety of the service provided. These had been effective in highlighting any shortfalls. The provider had an improvement plan in place that was reviewed and updated on a regular basis.
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 15/08/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service registered with CQC.
We have found evidence that the provider needs to make improvements. Please see the safe sections of this full report.
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.