Background to this inspection
Updated
18 April 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one 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.
Service and service type
Recovery Support Limited is a domiciliary care agency. It is a specialist mental health service which provides personal care and support to adults living in their own homes. The aim of the service is to promote recovery and well-being.
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
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service about their experience of the care provided. We spoke with the registered manager, the training coordinator, a quality assurance officer, four members of care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider
We reviewed a range of records relating to the management of the service, including policies and procedures, audits and governance records. We looked at four people’s care records and medication records. We looked at five staff files in relation to recruitment and staff supervision.
Updated
18 April 2020
About the service
This service is a domiciliary care agency. It is a specialist mental health service which provides personal care and support to adults living in their own homes. The aim of the service is to promote recovery and well-being. At the time of this inspection there were 30 people using the service.
People’s experience of using this service
Staff protected people from abuse. Staff understood how to recognise and report any concerns they had about people's safety and well-being. Staff assessed people’s needs before starting with the service. People had been involved in the care planning process, and in identifying their support needs in partnership with staff.The provider followed safe recruitment processes to ensure the right people were employed. Staff training included an induction and ongoing training to ensure staff had the knowledge and skills they required to meet people's needs. There were enough staff to keep people safe.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff assessed any risks to people’s health and wellbeing and mitigated these risks. Staff managed people's medicines safely and followed correct procedures to prevent the spread of infections.Staff had formed genuine relationships with people and knew them well and were caring and respectful towards people and their wishes. Staff were dedicated to their roles and in supporting people to achieve their goals and aspirations.
Staff supported people to access healthcare professionals and receive ongoing healthcare support. Staff supported people to share their views and shape the future of the care they received. Care plans provided staff with the information they needed to meet people's needs. Staff worked with other agencies to provide consistent, effective and timely care. We saw evidence that the staff and management worked with other organisations to meet people’s assessed needs.
The provider and manager followed governance systems which provided effective oversight and monitoring of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 22 September 2017.
Why we inspected
This was a planned inspection based on the previous rating.
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.