Background to this inspection
Updated
7 August 2015
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 21 and 27 April 2015 and the first day was unannounced. The inspection was undertaken by one inspector.
Because we carried out this inspection following some concerns we had received the inspection was carried out before the deadline set for the provider to complete and return the Provider Information Return.
In planning our inspection, we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We contacted the local authorities that purchase the care on behalf of people, to see what information they held about the service.
We spoke on the telephone with six people that used the service, four relatives, and three care staff. We met with the registered manager and the nominated individual. We looked at, safeguarding and complaints records, and sampled four people’s care records; this included their medication administration records and daily reports. We also looked at the recruitment records of three care staff, completed questionnaires sent to the service and quality assurance records.
Updated
7 August 2015
We had received some concerns about the service so we undertook an unannounced inspection, which took place on 21 and 27 of April 2015.
This was the first inspection of the service which was registered in April 2014.
Care Quality Management is a domiciliary care service that provides care and support to people living in their own homes.
There was a registered manager in post at the time of our inspection. 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.
People were protected from abuse because staff had some understanding of the signs and symptoms of abuse and there were arrangements in place to raise concerns.
Improvements had been made to medication administration so people received their medication safely.
There were sufficient numbers of trained staff. Improvements had been made to recruitment procedures and practice to ensure that only suitable staff would be employed.
People told us that staff were friendly and kind. People told us that they were asked for their consent to care and support.
Staff had received some training, however some additional training was needed to ensure staff had all the skills and knowledge needed to carry out their role effectively.
People told us that they were asked for their consent to care and support.
People told us that they were happy with the care and support they received from care staff. There had been some missed calls and the manager had taken steps to ensure systems were improved to prevent missed calls from happening.
Risks to people were assessed. However, records detailing the management of risks were not always detailed and did not always contain all the information staff needed so they knew how to keep people safe.
The management of the service was stable. There were systems in place to monitor quality and to make improvements to the service.