Archived: CRG Homecare - Nottingham

Updated 12 October 2016

We carried out this inspection visit 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 visit took place on 21 and 22 September 2016 and was announced. The provider was given seven days’ notice because the location provides a domiciliary care service and we wanted to make sure staff were available to speak with us. The inspection was carried out by one inspector.

We checked the information we held about the service and the provider. This included notifications that the provider had sent to us about incidents at the service and information we had received from the public. We also spoke with the local authority who provided us with current monitoring information. We used this information to formulate our inspection plan.

The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We used a range of different methods to help us understand people’s experiences. We visited four people in their homes and made telephone calls to a further four people. We spoke with five care staff, the care coordinator and the registered manager. We looked at care records for six people to see if their records were accurate and up to date. We also looked at records relating to the management of the service including quality checks

Updated 12 October 2016

We inspected this service on21 and 22 September 2016. This was an announced inspection and we telephoned the week prior to our inspection in order to arrange home visits and telephone interviews with people. The service provides care in people’s homes to older people and people with debilitating illness and long term conditions such as dementia. The service is available in the surrounding areas of Nottingham. At the time of the inspection 74 people were being supported by the service. This was the first inspection visit since the service registered with us on 16 December 2015.

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 felt safe and staff had received training to ensure they knew how to report any concerns. We saw when concerns had been raised they were dealt with in accordance with the safeguard policy. Risk to people had been assessed and guidance provided to support staff. There were sufficient staff to meet people’s needs and the provider only took on work when they had the appropriate level of resources to support people’s choices and needs. Any new staff had received the appropriate checks to ensure they were suitable to work with people. Were people required support with their medicines this was managed safety.

The staff had received training to support their role. New staff had a structured induction which covered all aspects of the service. People were encouraged and enabled to make choices. Where people were unable to make a decision this was supported through a best interest assessment.

When people received support with their meals, they were given choices and support to ensure they received a balanced diet. Health care professionals were contacted as required by the person following any concerns or requests.

People told us the staff provided a kind and friendly service, which they valued. Their dignity and privacy was respected when they received any care. The care plans covered all aspects of the support provided and detailed people’s preferences. The service responded flexibly to any changing needs.

Staff felt supported by the manager and provider. They received regular communication and support through meetings. The provider conducted monthly audits across the service to assess the quality and to make improvements. Any complaints had been addressed in line with the provider’s policy.