Background to this inspection
Updated
10 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 inspection took place on 27 June 2016 and was announced. The inspection was carried out by one inspector. The provider had a short amount of notice that an inspection would take place. This was because we needed to ensure that the registered manager/ provider would be available to answer any questions we had or provide information that we needed.
We tried to contact the local authority for their views on the service provided but we had not had a response. We reviewed the information we held about the service. Providers are required by law to notify us about events and incidents that occur; we refer to these as ‘notifications’. We used the information we had gathered to plan what areas we were going to focus on during our inspection.
We asked the provider to ask people for their consent for us to visit them in their homes. People did not consent to this so we were unable to speak directly with people in their home. We spoke with one person who used the service, two relatives, two staff [and had written feedback from one other staff member] the registered manager, and the registered provider. We looked at two people’s care records and medicine records, three staff member’s recruitment, supervision records and looked at staff training records. We looked at systems in place to monitor the quality and management of the service and provider feedback forms that had recently been completed by people who used the service and their relatives.
Updated
10 August 2016
Our inspection was announced and took place on 27 June 2016.
This was our first inspection of this service since it had been registered with us in January 2014.
The provider is registered to provide personal care and support to adults of different ages including older people. People had needs that related to old age and/or a physical disability. People who used the service received their support and care in their own homes within the community. Four people received personal care and support on the day.
The manager was registered with us as is required by law and was present on the day as was the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. The registered manager was also the registered provider. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The provider had processes in place that they and staff followed to prevent people experiencing any mistreatment or abuse.
Risk assessments were undertaken and staff knew of the actions they needed to take to keep people safe and minimise any potential risk of accident and injury.
Staffing ensured that people received a consistent service from staff who they were familiar with, knew of people’s individual circumstances and could meet their needs.
People were supported to take their medicines as they had been prescribed by their doctor.
Staff received induction training and the support they needed that ensured that they did their job safely and provided support in the way that people preferred. Staff training records showed and staff confirmed that they had received the training they required to meet people’s needs and to keep them safe.
People were enabled to make decisions about their care and they and their families were involved in how their care was planned and delivered.
Staff understood that people have the right to refuse care and that they should not be unlawfully restricted.
Staff supported people to have drinks and meals that they enjoyed.
People were cared for and supported by, staff who were kind and caring.
Staff supported people to be as independent as possible. People were encouraged and supported to undertake daily tasks and attend to their own personal hygiene needs.
The service was responsive to people’s changing needs and requests.
Complaints processes were in place for people and their relatives to access if they were dissatisfied with any aspect of the service provision.
People, their relatives and staff had confidence in the management team and the service.
Processes were in place to monitor the service and ensure that it was run in the best interests of the people who used it.