Background to this inspection
Updated
25 May 2017
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 was a comprehensive inspection. The inspection visit took place on 2 May 2017 and was announced. We gave the registered manager 48 hours’ notice of our inspection because we needed to be sure they would be available. The inspection was carried out by an inspector and an expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.
Before the inspection visit, we reviewed the information that we held about the service to plan and inform our inspection. This included information that we had received and statutory notifications. A statutory notification contains information relating to significant events that the provider must send to us. We contacted a social care professional who commissioned care to be delivered by Inclusive Care. We received feedback from them which we considered when making our judgements. We also contacted Healthwatch Leicestershire (the consumer champion for health and social care) to ask them for their feedback about the service.
We spoke with seven people who received care from Inclusive Care. We also spoke with relatives of five other people. We spoke with the registered manager and four care staff.
We looked at the care records of three people who used the service. We also looked at records in relation to people’s medicines, as well as documentation about the management of the service. These included training records, policies and procedures and quality checks that the registered manager had undertaken. We looked at two staff files to see how the provider had supported and recruited care staff.
Updated
25 May 2017
The inspection visit took place on 2 May 2017. We gave the registered manager 48 hours’ notice of our inspection because we needed to be sure they would be available.
Inclusive Care provides personal care and support for people in their own home. At the time of our inspection 32 people were receiving personal care and support from the service. At the last inspection, in May 2015, the service was rated good. At this inspection, we found the service remained good.
People continued to receive safe care and support. They were protected from abuse and avoidable harm by staff who knew their responsibilities to follow the provider’s procedures. Risks to people’s well-being were assessed and monitored and the registered manager provided guidance to staff to help people to remain safe. The provider had safely recruited a sufficient number of staff to meet people’s care requirements. Where people required assistance with their medicines, this was undertaken safely by staff who knew their responsibilities.
People continued to receive care from staff who had the necessary skills and knowledge. Staff were trained and received on-going support so that they understood their responsibilities. People were offered food and drink based on their preferences and supported to maintain good health.
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 provided guidance in this practice.
People continued to receive compassionate care from staff members who protected their dignity and privacy. Staff knew the people they supported and had information available to them on people’s life history and background. People were involved in decisions about their care and their independence was promoted wherever possible so that they retained their skills.
People continued to receive care and support based on things that mattered to them. People had care plans that were individual to them and contained guidance for staff to follow. Their care was reviewed to make sure they continued to receive support that met their requirements. People and their relatives knew how to make a complaint and there were clear procedures in place to handle them should one be received.
The service had an open ethos that encouraged feedback. Staff were supported well by the registered manager and received feedback on their work. The registered manager was aware of their responsibilities. They carried out a range of quality checks to make sure the service was delivering a high quality service.
Further information is in the detailed findings below.