Background to this inspection
Updated
29 May 2021
The inspection
This was a targeted inspection looking at Safe and Well-led. We also checked whether the provider had met the requirements of the breach in relation to Regulation 18 (Staffing), Regulation 17 (Good governance), Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (regulated Activities) Regulations 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector and one 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.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats within the building of Adlington House.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave a short period notice of the inspection so that we could ensure we managed the risks related to Covid-19 and ensure the registered manager would be in the office to support the inspection.
Inspection activity started on 7 May 2021 and ended on 11 May 2021. We visited the office location on 7 May 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return prior to this inspection. 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 inspected the service and made the judgements in this report. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and seven relatives about their experience of the care provided. We spoke with three members of staff including the registered manager. We reviewed a range of records including people’s medications records, incidents and accidents, training records, recruitment records, audits and policies and procedures.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found and quality assurance records which we have used to support our judgements in the report.
Updated
29 May 2021
About the service
Adlington House is a domiciliary care agency that provides personal care to people living in their own homes. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection there were 12 people receiving support with their personal care.
People’s experience of using this service and what we found
People received their medicines when required and from staff who had received medicines training. Staff knew people well and people received support from regular carer staff. People felt safe and staff were familiar with the different types of abuse and who to raise concerns with should they suspect abuse had occurred. Care plans contained important information relating to people’s risks and staff had clear guidance on how to support people with those risks.
People were happy with the support they received from the care staff and felt able to discuss anything with the management. Staff had received Covid-19 and infection control training and people confirmed staff wore their personal protective equipment (PPE) as required. Audits were in place to check medicines records and incidents and accidents and the provider also monitored the service and made improvements where required. People and staff views were sought, and various positive compliments had been received about the care and support people received.
Rating at last inspection:
The last rating for this service was requires improvement (published 8 November 2019).
Why we inspected
We carried out a comprehensive inspection of this service on 26 September 2019. Three breaches of legal requirements were found in safe and well led. The provider completed an action plan after the last inspection to show what they would do to improve the safe administration of medicines, staffing numbers and quality assurance checks.
We undertook this focused announced inspection on 7 and 11 May 2021. This was to check they had followed their action plan and to confirm they had met legal requirements in safe and well led. This report only covers our findings in relation to the Key Questions Safe, which contain those requirements and Well-led.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Adlington House – Portishead www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.