Background to this inspection
Updated
29 June 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. 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
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
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 registered manager would be in the office to support the inspection.
Inspection activity started on 28 April 2022 and ended on 16 May 2022. We visited the location’s service on 28 April 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and what changes they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, senior carer and carer. We spoke with one person and reviewed feedback from one relative about the experience of the care from Enable Support Limited. We reviewed three staff files in relation to recruitment. We reviewed two peoples' care plans, medicine records and supporting documents in relation to their care and the visits they received. We reviewed a range of information requested from the provider, including policies, rotas and training records.
Updated
29 June 2022
About the service
Enable Support Limited is a domiciliary care agency providing personal care to older and younger adults. The service supported 3 people at the time of the inspection. Not everyone who used the service received personal care. The Care Quality Commission (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. There were 2 people receiving regulated activity at the time of the inspection.
People’s experience of using this service and what we found
Staff understood how to safeguard people from the risk of harm and abuse. Incidents were investigated and acted upon in a timely manner. People were supported to take their medicines safely by trained staff. Staff were recruited safely, and people were supported by staff who knew them well. Risks were assessed in people’s homes to ensure they could be supported safely. Infection control measures were in place to protect people from the risk of infection.
People’s nutritional needs had been fully assessed, risks associated with eating and drinking were managed and advice had been sought when needed. Staff were trained and competent and care was delivered in line with best practice guidance and the law. 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 told us they were provided with consistently kind and caring support. Care was delivered at people’s preferred times and people told us they received care from caring staff who respected their wishes. Records showed people were given choices and they were consulted about all aspects of their care.
People and their relatives were involved in planning their care. People had been supported to develop person-centred end of life care plans. There was a complaints policy in place and people and staff told us all concerns were dealt with immediately by the registered manager.
The registered manager had systems in place to ensure care was delivered safely and to a high standard. The registered manager completed monthly audits to ensure any issues could be identified and improvements could be made. People told us and records showed people and their relatives were fully involved in planning their care.
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 17 March 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.