Background to this inspection
Updated
10 March 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 17 and 31 December 2015. We gave 48 hours’ notice of the inspection to make sure the people we needed to speak with would be available.
Before the inspection, we reviewed notifications and any other information we had received since the last inspection. A notification is information about important events which the service is required to send us by law.
At the time of the inspection the provider had not been asked to complete a provider information return (PIR). This is a form that asks them to give some key information about the service, what the service does well and improvements they plan to make. However, the provider had, since their previous inspection, put in place and kept up to date a very detailed “CQC Evidence Folder” aligned with the five CQC domains of safe, effective, caring, responsive and well-led. This included comprehensive information about the service, how it operated, how quality was monitored and staff and people who used the service were supported. During the inspection visits we were able to talk with the registered manager and the newly appointed training and development manager about their plans for the service going forward.
The inspection included two days talking to management staff and looking at key records in the service’s office in High Wycombe, Buckinghamshire. A further two days in total were spent talking with or through electronic mail (e-mail) contact with 17 staff, eight relatives of people who received a care service from Invent Health and eight commissioners of care support from Invent Health.
The inspection was carried out by one inspector on each day, including all telephone and e-mail contact.
At the time of our inspection Invent Health provided support to 62 people, predominantly children up to 18 years of age. There were 250 care or nursing staff plus administrative and management staff.
We reviewed five care plans, three recent staff recruitment files and training records for three staff, including their induction records. We also looked at training and supervision overviews for all staff, minutes of staff meetings and medicines records held in the service.
Updated
10 March 2016
This inspection took place on 17 and 31December 2015. We gave 48 hours’ notice of the inspection to make sure the people we needed to speak with would be available.
We previously inspected the service on 20 May 2014. The service was meeting the requirements of the regulations at that time.
InVent Health Limited (Invent Health) provides specialist care and support to adults and children with very complex nursing needs, in their own home or the community.
Invent Health provide a service across London, the South of England, Essex, Suffolk, Norfolk and the West Midlands.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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.
In their attention to detail, the standard of care provided and their effective joint working with other services, Invent Health achieved good outcomes for the people who used their service. The levels of satisfaction from people who received care and those who supported them and also from commissioners of care were very high. The service was self-critical and identified areas themselves where improvements could be made. They invited and responded to feedback, including complaints and co-operated fully with statutory safeguarding bodies, making referrals themselves proactively.
Staff told us they felt supported. This was through a range of training that included quite complex areas of specialist care as well as supervision, team meetings and peer support from colleagues. They were offered formal and informal counselling and support in what could be very difficult situations, for example, when they provided care to young people who were terminally ill.
Staff were highly motivated and worked as a team. The management of the service was said to be approachable and was being enhanced to provide additional professional capability in key areas, for example training.
Above all, the feedback we received from the family carers of people who received support from Invent Health was overwhelmingly positive. “Special people” and “Can’t fault them” were typical assessments. People confirmed that whenever they had raised any concerns at all about the provision of care, they had been listened to and action had been taken to address their concern. Those people who had the longest experience of Invent Health told us the service had significantly improved and developed in the past two years.