Background to this inspection
Updated
28 August 2015
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 31 March 2015. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.
The inspection was carried out by one inspector.
Before the inspection the provider completed a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with notifications that we had received from the provider. A notification is information about important events which the service is required to send us by law.
We spoke with seven people who used the service and one relative for their experience of the service. We also spoke with the registered manager and two other members of the senior staff team.
We looked at all or parts of the care records for four people along with other records relevant to the running of the service. These included policies and procedures, records of staff training and records of associated quality assurance processes.
Updated
28 August 2015
This inspection took place on 31 March 2015 and was announced.
Quorndon Care is a domiciliary care agency and provides care and support to people living in their own homes. At the time of our visit the Quorndon care was providing care and support to 48 people.
There was a registered manager in place. 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.
During our last inspection on 2 October 2013 we asked the provider to take action to make improvements. The provider was not meeting one Regulation of the Health and Social Care Act 2008. This was in relation to people’s care and welfare. . At this inspection we found that improvements had been made and the provider met all the regulations we inspected. Improvements had also been made in response to concerns raised with the local authority safeguarding team.
There were systems in place to keep people safe. People told us they felt safe and happy and staff treated them with respect. Assessments of risks to people had been completed and reviewed. The service employed enough qualified and well trained staff to meet the needs of people who used the service. There were safe procedures in place to support people take their medicines.
People and their relatives were involved in planning and reviewing the support provided. Staff obtained consent before carrying out care and support. The provider had introduced procedures to ensure that where people’s mental capacity to make decisions could not be presumed, assessments would be carried out.
Induction training was provided for new staff, this included all the required training such as safeguarding people form abuse and moving and handling safely. Some staff had not received all the additional training they required but the provider had taken action to address this. Staff received regular supervision and spot checks so that training and development needs could be discussed and performance assessed.
The needs of people were clearly documented in the care plans and these were accessible to people and to staff. They were reviewed regularly to ensure people received they support they needed, and included clear guidance for staff to follow.
People and their relatives were consulted about the care and support provided. If they had any concerns they were confident they would be addressed.
The provider and senior staff provided good leadership and support for staff. There was on-going monitoring of the service and additional systems had been introduced to assess the care and support provided.