Updated 31 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one adult social care inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service for older people. Their area of expertise was in older people’s care. The expert by experience telephoned a sample of people and their relatives to check if people were happy with their care and support.
Service and service type: Lanhydrock Care is a domiciliary care service that provides personal care and support to people living in their own homes in the community. This includes people with physical disabilities and dementia care needs. The service mainly provides personal care for people in short visits at key times of the day to help people get up in the morning, go to bed at night and support with meals.
The service did not have a regulatory requirement to have a registered manager in post. The provider was registered with the Care Quality Commission to manage the service. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: This comprehensive inspection took place on 8 and 9 May 2019 and was announced. We gave the service 24 hours notice of the inspection visit because it is a domiciliary service and the manager is often out of the office supporting staff or providing care. We needed to be sure that we could access the office premises to look at records and arrange to visit people in their own homes.
What we did: Before the inspection we reviewed the Provider Information Return (PIR). The PIR This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we made the judgements in this report. We also reviewed notifications we had been sent. Notifications are specific issues that registered people must tell us about.
During the inspection we spoke with four care staff, the registered provider, the deputy manager, the administrator and the finance manager. We obtained consent from two people, who used the service, to visit them in their own homes. The expert by experience telephoned and spoke with seven people who used the service and four relatives to gain their views of the service. We reviewed three staff recruitment files, supervision and training records, four care records and records relating to health and safety, safeguarding and other aspects of the service.