Background to this inspection
Updated
25 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was completed by one adult social care inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience had experience in caring for older people.
Service and service type:
This service is a live-in care service.
They provide 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:
We gave the service 48 hours’ notice of the start of inspection activity, to ensure staff we needed to speak with were available. Inspection activity started on 1 March 2019 with calls to three live-in care staff and ended on 4 March 2019. We visited the office location on 4 March 2019 to see the registered manager and office staff; and to review care records and policies and procedures.
What we did:
Before the inspection the provider sent us a Provider Information Return (PiR). Providers are required to send us information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed information we held about the service, for example, statutory notifications. A notification is information about events which the provider is required to tell us about by law.
We contacted three professionals to seek their feedback and received feedback from one.
During the office visit as most people could either not manage an interview about the service or had nominated their relative to act as their representative in relation to their care. We made telephone calls to 10 relatives/representatives for their views about their loved one’s care. We also spoke with a care manager, the registered manager and the regional director.
We reviewed records for four people, three staff files and records relating to the management of the service.
Updated
25 May 2019
About the service:
Enviva Care Limited is a live-in care agency that was providing personal care to 36 people at the time of the inspection.
They provide a live-in care service to people living with a disability, people living with dementia and older people.
Since the last inspection in December 2016, ownership of the provider Enviva Care Limited changed; in June 2018.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
People’s experience of using this service:
The service continued to be outstandingly caring and to demonstrate a strong, visible person-centred culture.
People received exceptionally caring, kind and empathic care from staff.
People living with dementia especially, received excellent care, due to the consistency they experienced in the provision of their live-in care staff.
The service continued to be outstandingly responsive. The service was highly person centred.
Staff went the extra mile and enabled people to continue to live the life they had previously lived wherever possible.
People were asked about their wishes, preferences and what was important to them in the delivery of their care.
Staff supported people to achieve their aspirations and goals and to pursue their interests.
People benefited from an organisational culture that was continually focused on identifying areas for further improvement in relation to their safety.
Since the last inspection in December 2016, processes, guidance and staff training in the areas of safeguarding, reporting, risk assessments and medicines had been reviewed and further improved.
People benefited from the continuity provided by the recruitment of the new registered manager from within the service. They had a wealth of knowledge and experience about people, staff and the service which they used to drive further improvements.
Staff were well trained, and the provider ensured staff updated their knowledge annually to ensure it remained current and they could provide effective care for people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Rating at last inspection:
At the last inspection the service was rated outstanding (09 December 2016).
Follow up:
We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated outstanding. We will continue to monitor the service through the information we receive.