Background to this inspection
Updated
28 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 team was one inspector.
Service and service type
This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service is also a domiciliary care agency. It provides personal care to people living in their own homes.
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 were two registered managers in post. This was an interim situation. One of the owners intended to deregister now a fulltime manager had been appointed.
Notice of inspection
We gave the service 24 hours’ notice of the inspection visit. This was because it is a small service and we needed to be sure that the provider or registered managers would be in the office to support the inspection and we wanted to be able to speak with the person who received the service.
Inspection activity started on 31 May 2022 and ended on 8 June 2022. We visited the location’s office on 31 May 2022.
What we did before the inspection
We reviewed information we had received about the service since registration. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with four people and three relatives about their experience of the care and support provided. We visited the office and spoke with the two registered managers and a representative from the provider. We also spoke with five members of staff. We looked at records related to four people’s care and the oversight and management of the service. This included two staff files, training records and audits. The provider sent us further information about risk management and oversight. The last information provided for the inspection was received on 8 June 2022.
Updated
28 June 2022
About the service
Redlief Care provides personal care to people living in their own homes and within a supported living setting called Redlief House in Yeovil. Not everyone supported by 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. At the time of the inspection the service was providing personal care to seven people.
People’s experience of using this service and what we found
There was a person-centred culture in the service. The whole team sought to ensure they were delivering care in a way that suited each person. People who received care described the impact of receiving this care. One person told us, “They are excellent. I have had a really good experience.” A relative commented that their loved one was always “treated as an individual”.
People were supported to have maximum choice and control of their life 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 felt safe with staff coming into their homes and rooms to support them. Staff knew how to recognise and report any safeguarding concerns. Risks were assessed and managed and people told us that they were supported safely by the staff. One relative told us, “We have no worries about safety.”
People received safe support with their medicines and were enabled to take control of their own medicines whenever possible. Guidance was put in place during our visit to further reduce risk and ensure clarity for staff about when people should take medicines that they did not always take. This included medicines for pain and anxiety. Staff knew people well and understood when these medicines were needed.
People were supported by staff who understood how to reduce the risks associated with communicable diseases. Staff were confident explaining their use of personal protective equipment (PPE) and the people and relatives told us staff always wore PPE appropriately.
People received their care from a consistent, and committed, team of staff who knew them well and understood their needs and preferences. People, and their relatives, told us staff got to know people well and provided support at appropriate times.
Staff felt very well supported and trained to ensure they had the skills to provide safe, effective and respectful support. They told us they were supported to develop their skills and knowledge. An enhancement was made to the recruitment process during our inspection.
People's needs were assessed before the service began to provide care and support. This ensured that the service was able to meet people’s needs. The assessment process included people’s aspirations and preferences and this informed a clear care plan outlining how staff should deliver care.
There was an open culture within the staff team that maintained a focus on supporting people to achieve the outcomes they had identified as important to them. People, relatives and a professional were very complimentary about the management and staff team.
Oversight was in place to monitor the quality and safety of the service. These systems were being developed to meet the needs of the growing service.
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 21 May 2020 and this is the first rating 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.