Background to this inspection
Updated
3 February 2023
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 carried out by 1 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.
Registered manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave the service 48 hours' notice of the inspection to ensure the registered manager and staff would be present and available to speak with. Inspection activity started on 18 January 2023 and ended on 20 January 2023. We visited the office location on 18 January 2023.
What we did before the inspection
We checked the information we had about the service including notifications they had sent us. A notification is information about incidents or events that providers are required to inform us about. 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 used all this information to help plan our inspection.
During the inspection
We met and spoke with the registered manager, 2 staff members and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. Following the office visit we spoke with 1 person to seek their feedback on the service provided. We reviewed a range of records including 3 care records, 3 staff recruitment records and staff training records. We also reviewed records used in managing the service for example, policies and procedures, monitoring tools and audits.
Updated
3 February 2023
About the service
Support + Healthcare Services is a domiciliary care agency which is registered to provide personal care and support to people in their own homes. The service is registered to provide support to older people, people living with dementia and people with mental health support needs, a learning disability, a physical disability, those with a sensory impairment and to younger adults. At the time of our performance review and assessment, the service was supporting 11 older people, some of whom were living with dementia. 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 were satisfied with the care and support they received and told us they had no complaints.
There were sufficient staff employed to undertake care calls to people. People received their care calls during the agreed time slots, and on occasions when staff were running late, people were advised of this by a phone call.
Staff were recruited in a safe way and had been trained. People described staff as caring and kind and felt they had the skills needed for the job role. Staff knew how to care for people in a safe way because risks had been assessed. Staff were trained to protect people from the risks of abuse. Staff knew how to report any concerns they might have.
People received their medicines as prescribed. People had individual plans of care and staff provided personalised care and support.
The provider had quality check systems in place to monitor the services provided.
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: Model of Care and setting that maximises people's choice, control and independence
People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service did support least restrictive practices.
Right Care: Care was person-centred and did promote people's dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff did ensure people using services led confident, inclusive and empowered lives.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The service was registered with us on 29 October 2021 and this is the first inspection.
Why we inspected
This was a planned inspection of this newly registered service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.