Background to this inspection
Updated
2 October 2018
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 between 31 July and 12 September 2018 and was announced.
We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure that they would be in. The inspection was carried out by one inspector.
Before the inspection we reviewed the information we held about the service. This included the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally required to let us know about. The local authority or CCG did not currently commission the service.
We spoke with the person using the service. We also spoke with the registered manager and two care staff. We looked at a range of records relating to the management and safety of the service.
Updated
2 October 2018
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
This service is a domiciliary care agency. It provides personal care to one person living in their own house. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
The service had a registered manager. 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 and staff gave us mostly positive feedback about the management of the home.
The person and staff felt the service was safe. Staff had completed safeguarding training and knew how to report concerns.
Potential risks were managed and procedures had been developed to deal with emergency situations.
Staffing was appropriate to meet the person’s needs. The service was personalised and flexible so that the person was able to choose how their care was provided. Staff had only been recruited following thorough checks having been completed.
Medicines were managed safely. Records showed the person received their medicines when they needed them.
Staff received good support and had access to the training they needed.
The person received the support they needed with nutrition and hydration and to access health care services.
Peoples’ needs had been assessed and the information used to develop personalised care plans. Staff ensured consent was sought before providing care.
There were regular opportunities for the person and staff to give feedback about the service.
The provider continued to carry out a range of quality assurance checks.
Further information is in the detailed findings below.