Background to this inspection
Updated
9 January 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive took place on 1 December 2017 and was announced.
The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.
The inspection was undertaken by one inspector.
Before the inspection, we reviewed information we held about the service including statutory notifications sent to us by the registered manager about incidents and events at the service. A statutory notification is information about important events which the registered person is required to send us by law. We used this information to plan the inspection.
We did not receive a Provider Information Return (PIR) form. A PIR is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The registered manager informed us that they had not received a request to complete a PIR form.
During the inspection, we spoke with two people using the service who received support from an interpreter because English was not their first language. We spoke with two members of care staff, an office manager and the registered manager.
We reviewed six people’s care records, their risk assessments and medicine administration records. We looked at five staff files including information on recruitment, training, supervisions and duty rosters. We looked at management records of the service and quality assurance reports. We read feedback from people using the service, their relatives and health and social care professionals.
Updated
9 January 2018
Lewisham Indo-Chinese Community: Chinese Community School - 33 Clyde Street is a domiciliary care agency. It provides personal care to people living in their own houses in the community. It provides a service to older adults, younger disabled adults and children. At the time of the inspection, six people were using the service.
At the last inspection, the service was rated Good.
At this inspection, we found the service remained Good.
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. Staff sought people’s consent to care and treatment and provided their care in line with the legal requirements of the Mental Capacity Act 2005.
People continued to receive safe care and support. Staff were aware of the identified risks to people’s health and well-being and understood how to provide safe care. Staff followed appropriate safeguarding systems to ensure they protected people from the risk of abuse and neglect.
People were supported by a sufficient number of suitably skilled and experienced staff to meet their needs. People’s care was delivered by staff who received the support they required to be effective in their roles, which included regular supervisions, appraisals and training.
People received care in line with their assessed needs, current legislation and best practice guidance as recommended by health and social care professionals. The registered manager reviewed people’s needs and ensured staff had sufficient guidance to meet their changing needs.
People who required support to take their medicines were helped to do so safely by staff trained to carry out this duty. Staff knew how to minimise the risk of infection and had received the relevant training to guide their practice. The registered manager ensured staff learnt from incidents and near misses to help keep people safe.
People were supported to eat and drink healthily and to access healthcare services when needed. Staff worked closely with other health and social care professionals to ensure people received appropriate care in a timely and coordinated manner. The provider ensured people had access to the equipment they needed to enable them to receive effective care.
People received care provided in a compassionate and dignified manner. Staff respected people’s individuality and maintained their privacy and dignity. People were involved in planning their care and support and had access to advocacy services when needed. Staff ensured people had the information they required to make decisions about their care.
People were given opportunities to share their views about the service. The registered manager acted on people’s feedback to improve service delivery. People were confident of making a complaint and felt reassured that their concerns would be resolved.
The provider used their quality assurance systems effectively to monitor and improve care provision. The registered manager and staff understood the provider’s vision to provide person-centred care. Staff were valued at the service and spoke highly of the registered manager. People benefitted from the close working relationship between the provider and external agencies.