Spire Homecare Limited

Updated 15 January 2019

The inspection:

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.

Inspection team:

The inspection team consisted of 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:

Spire Homecare Limited is a domiciliary care agency (DCA). The service provides personal care to people living in their own homes in the community.

There was 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.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the management would be in the office. We visited the office location on 5 December 2018 to see the registered manager and to review care records and policies and procedures.

What we did:

Before the inspection we reviewed the information we held about the service and the service provider. The registered manager 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 looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

We spoke with seven people and one relative to gather their views about the care they received. During the office site visit we looked at records, which included five people’s care and medicines records. We checked recruitment, training and supervision records for three staff. We also looked at a range of records about how the service was managed. We also spoke with the registered manager and six care staff.

Updated 15 January 2019

What life is like for people using this service:

People received caring and compassionate support from kind and committed staff. The registered manager and directors led by example and successfully created a stable and reliable team.

People were complimentary about the care they received and about the quality of staff.

Staff recognised what was important to people and ensured an individual, person-centred approach, that met people’s needs. People had been supported to develop clear care plans that were specific to them. These plans were regularly reviewed with people to keep them up to date.

Staff respected people’s privacy and dignity. People were supported to be as independent as possible.

The provider ensured people received safe care and treatment. People felt safe when staff were in their home providing care. People received support to take their medicines safely.

Risks to people’s well-being and safety were assessed, recorded and kept up to date. Staff took action to manage these risks effectively.

People’s rights to make their own decisions were respected. People were supported to maintain a healthy diet and access health services if needed.

The service was well-led. The provider’s quality assurance processes were effective and there was a focus on continuous improvement. The registered manager provided good support for staff to be able to do their job effectively.

More information is in Detailed Findings below.

Rating at last inspection:

Not applicable. This is the first inspection since this service was registered in November 2017.

About the service:

Spire Homecare Limited is a domiciliary care agency (DCA). The service provides personal care to people living in their own homes. At the time of our inspection the service provided personal care to 42 people.

Why we inspected:

This was a planned first inspection following the registration of the service.

Follow up:

We will monitor all intelligence received about the service to inform when the next inspection should take place.