Background to this inspection
Updated
22 October 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 two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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 a short period of notice of the inspection. This was because the service is small, and staff are often out, we wanted to be sure there would be people available to speak with us.
What we did before the inspection
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 improvements they plan to make. We contacted two local authorities and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with the registered manager and service manager. Following the inspection, we spoke with one relative and two members of staff by telephone.
We reviewed a range of records. This included the person’s care records. We looked at four staff recruitment files, meetings, and supervision records. We also looked at records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
22 October 2022
About the service
Halcyon Days Community Opportunities Ltd is a domiciliary care service providing personal care to younger adults and older people with a learning disability or autistic spectrum disorder, mental health needs or a sensory impairment.
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. At the time of our inspection there were two people using the service, one of these received personal care.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
We have made a recommendation about recording all discussions surrounding end of life care.
The person was supported by staff to pursue their interests and to achieve their dreams. The registered manager and staff ensured relatives were involved in the care and support of the person. The person using the service was supported to have maximum choice and control of their lives. Staff supported the person in the least restrictive way possible and in their best interests. There were policies and processes in place which supported this practice.
Right Care
Staff understood the person’s needs and preferences and the care was tailored to meet their individual needs. Staff knew the person well and communicated effectively using signs, picture boards and speech. Staff knew how to protect the person’s privacy and dignity.
Right Culture
The person using the service was supported by staff who were experienced and caring, they put the person first and empowered them to lead a meaningful, inclusive life. The Provider enabled the person and those important to them to work with staff to develop the service. Staff valued the person’s views and promoted their independence.
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 29 July 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.