Background to this inspection
Updated
11 April 2019
The inspection:
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.
Inspection team:
This inspection was conducted by two adult social care inspectors.
Service and service type:
Cumbria View is a domiciliary care service providing support and personal care to people in their own homes. At the time of the inspection 84 people were receiving the regulated activity personal care.
The service had a manager registered with the Care Quality commission. This means 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 inspection visit because we needed to make sure that the appropriate people would be available.
The inspection site visit started on 12 February and telephone calls to people who used the service, relatives and staff ended on 6 March 2019. We visited the provider's office on 12 February to see the registered manager and to review care records and other records relevant to the running and quality monitoring of the service.
What we did:
During this inspection we visited three people who used the service in their homes and looked at the records they kept at home. We spoke on the telephone to seven people and spoke with three relatives to ask about their experience of the service and the care provided. We spoke with six care staff in person or by telephone for their experiences of working for this service.
We also spoke with the registered manager, the training manager, the office coordinator and a care coordinator. We looked at seven care records and a selection of other records including quality monitoring records, training records and recruitment records for four new staff.
Our planning considered information we held about the service. This included information about incidents the provider must notify us about, such as abuse; and we looked at issues raised in complaints and how the service responded to them. We obtained information from the local authority commissioners and safeguarding team. We used all this information to plan our inspection.
We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
Updated
11 April 2019
Cumbria View Care Services Limited (Cumbria View) provides to adults in their own homes in South Cumbria and North Lancashire. The agency also provides a night care service, palliative care and domestic support to assist people to stay independent within their own homes.
People’s experience of using this service:
•The service met the characteristics for a rating of "good" in all key questions.
•People told us they felt they received care in a safe way. We were told staff were “very good” and “skilled”, “well trained” and “I feel totally safe'.
•Sufficient numbers of suitably trained and skilled staff were being deployed to meet people’s individual needs.
•Staff had received a range of training and support to enable them to carry out their work and support people safely. Staff received induction training, supervision and support so they could support people effectively.
•The service had a thorough recruitment process to help ensure new staff were suitable to work with the people in their homes.
•The provider had safeguarding systems. Staff were aware of the procedures for this and had received training on it.
•Only staff who had received training in safe medicine administration were able to give medicines.
•Staff were supplied with personal protective equipment for use to prevent the spread of infections. Staff had received training in infection control.
•There were effective systems for assessing and managing risk to help make sure all were kept safe from foreseeable risks.
•The registered provider had procedures for assessing a person's mental capacity in line with the Mental Capacity Act 2005.
•People and relatives told us the service was caring, well-led and staff knew them well and respected their needs and preferences.
•People and their relatives were aware of how to raise concerns or complaints. Complaints received had been investigated and responded to in line with the provider's procedure.
•Checks and audits were carried out to determine the quality of the care and people who used the service were asked for their views on service provision.
•People and their relatives were happy with how the service was managed. Care staff told us the management team set high standards.
Rating at last inspection: Good. (The report was published on 2 September 2016).
Why we inspected: This inspection was part of our routine scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:We will continue to monitor intelligence we receive about the service and plan to inspect in line with our inspection schedule for those services rated Good. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk