Background to this inspection
Updated
15 September 2016
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 on 9 and 12 Aug 2016 and was announced. The registered manager was given 48 hours' notice of the inspection. We did this because we needed to be sure that the registered manager or someone senior would be available on the day of the inspection to help respond to our questions and to provide us with evidence.
The inspection was carried out by one inspector.
Prior to this inspection we had received some information of concern. We therefore reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We also contacted the Local Authority for any information they held on the service.
We spoke with six people who used the service, two relatives of people that use the service, four support workers, the registered manager, and an administration staff member. We reviewed six people's care records to ensure they were reflective of their needs, six staff files, and other documents relating to the management of the service, including quality audits.
Updated
15 September 2016
This inspection took place on 9 August 2016 and was announced.
Rosywood homecare provides personal care to people who live in their own homes in order for them to maintain their independence.
At the time of our inspection the provider confirmed they were providing personal care to 27 people. Prior to this inspection we had received concerns in relation to the care people were receiving and the management of the service. We therefore needed to ensure that people's care was being delivered in line with the fundamental standards.
Care plans reflected how people preferred to receive their care, but did not contain personalised information on people’s personality, personal history, hobbies and interests. The service had a mission statement which outlined that this information would be documented, but it was not.
Systems had not been in place to pick up on or rectify staff lateness to care visits. People told us that staff had been late and they had not received a phone call to inform them of this. The management were not able to accurately monitor the staff calls and take immediate action as and when required.
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.
Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes.
Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse and were confident in using them. People had risk assessments in place to guide staff to support people safely within their homes, and enable people to be as independent as possible.
We saw that there was a sufficient amount of staff employed within the service which meant that staffing levels were adequate to meet people's current needs.
The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.
Staff all confirmed that they had a thorough induction into the service and that on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.
People told us that they were happy in the way that they were supported with medicines. We saw records that showed us medicines were administered safely and on time. Medication record audits regularly took place to keep track on the quality and pick up on any mistakes
Staff were well supported by the registered manager and senior team, and had regular one to one
supervisions.
People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.
People were able to choose the food and drink they wanted and staff supported people with this. Staff were able to support people with making and preparing food when required, and staff promoted healthy choices to the people they were working with.
People were offered support to access health appointments when they need the support. People’s health was monitored by staff when required and recorded.
People were involved in their own care planning and were able to contribute to the way in which they were supported.
The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required.
The people we spoke with knew how to use it.
Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed.