Background to this inspection
Updated
21 March 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This 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
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 18 December 2023 and ended on 15 January 2024. We visited the service’s office/service on 19 December 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, business manager, training manager and administrator. We reviewed 3 people's care files, 4 staff records, policies and procedures and a range of records relating to the management and quality monitoring of the service. We received feedback from 2 care staff, 1 relative of a person using the service and a commissioning local authority.
Updated
21 March 2024
About the service
117A Island Business Centre is a domiciliary service providing care and support to people living in their own homes. At the time of our inspection there were 4 people using the service.
Not everyone who used the service received personal care. 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 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.
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.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support: 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. People’s care was designed to meet their individual needs and preferences. Staff were safely recruited. Pre-employment checks had been carried out to ensure they were suitable for the work they were undertaking.
Right Care: Staff understood how to ensure people were protected from harm or abuse. Staff worked with people to identify and reduce the likelihood of risks to their wellbeing and activities. Staff understood people’s care and support need/ They received guidance on providing person-centred care and support that reflected people’s individual needs and preferences. Staff liaised with other professionals to ensure people’s health needs were met.
Right Culture: Staff knew and understood people well and were responsive to their needs. Information was shared by the registered manager and staff team to ensure people’s care and support was always based on their current identified needs. Staff received the training and support they required to ensure people received effective care. The provider’s policies and procedures reflected current best practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 11 May 2022 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about staffing. A decision was made for us to inspect and examine those risks.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.