Updated 16 May 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by one inspector
Service and Service Type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was announced. The provider was given 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 28 March 2023 ended on 17 April 2023
What we did before the inspection
We reviewed information we had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 12 March 2021to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed a range of records. This included 12 people's care records, risk assessment, recruitment records, quality audits, daily records, and training records.
We spoke with 9 care workers and 6 relatives. We also spoke with 10 people. We reviewed a variety of records relating to the management of the service, including policies and procedures, care workers rotas, accident and incident records and safeguarding records.