Background to this inspection
Updated
7 September 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 2 August 2016 and was announced. We gave the provider 24 hours’ notice of the inspection because it is a domiciliary care agency and we needed to be sure that they would be in. The inspection team consisted of one inspector.
As part of the inspection, we reviewed the information we held about the location and looked at the notifications we had received. A notification is information about important events, such as serious injuries, which the provider is required to send us by law. We contacted a commissioner of the service and the local authority safeguarding team to obtain their views about the quality of the service provided. We considered this information when we planned our inspection.
During the inspection we spoke with one person who used the service and four members of staff. We also spoke with the registered manager. The registered manager was supported by a service coordinator.
We reviewed a range of records about how people received their care and how the service was managed. We looked at three people’s care records and two staff records including recruitment checks. We also looked at records relating to the management of the service which included policies and procedures, medicines administration procedures and quality checks.
Updated
7 September 2016
Our inspection took place on 2 August 2016 and was announced. This was the locations first inspection since registering with us.
Telford and Wrekin framework provides personal care to people living in their own homes. At the time of our inspection the service was supporting three people.
There was a registered manager in post. 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 supported by staff who could recognise potential signs of abuse and were confident in reporting concerns regarding people’s safety. People were supported by sufficient numbers of staff who had been recruited safely. Risks to the health, safety and well-being of people were identified and managed. Staff had a good understanding of how care and support should be provided in order to keep people safe. The provider was not currently supporting people in administering medicines but we saw the provider had systems in place to ensure medicines were managed safely.
People told us they received their support calls on time and were informed if for any reason their call was going to be late.
People were supported by staff who had the required skills and support to provide effective care.
People consented to their care and support and people were supported by staff who had a good understanding of the Mental Capacity Act. People received food and drink when required and dietary and nutritional needs were identified and appropriately managed. People had access to healthcare professionals when required and were supported to maintain good health.
People were supported by staff who were caring and treated people with kindness and respect. People’s individual needs and preferences were understood and met by staff and people were involved in making decisions about how their care and support was provided. Staff supported people in a way that maintained their privacy and dignity and promoted their independence.
People knew how to raise a concern or complaint and expressed confidence that concerns would be dealt with efficiently by the registered manager.
The registered manager had effective systems in place to monitor the quality and consistency of the care provided. People and staff were encouraged to give feedback on the service and information from audits, surveys and quality checks was being used to drive improvement.