Updated 14 June 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 comprehensive inspection took place on 11 and 15 May 2018 and was announced. 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 available in the office. The inspection was undertaken by one adult care inspector.
Before the inspection, the provider completed a detailed Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
In preparation for our visit, we looked at previous inspection reports, notifications (events which happened in the service that the provider is required to tell us about) and information that had been sent to us by other agencies, including the local authority’s contract monitoring team.
In addition, we sent satisfaction questionnaires to 50 people using the service and 50 relatives; we received 20 completed questionnaires from people and four from relatives. We also sent 39 questionnaires to staff and 11 were returned. We analysed the responses and took these into account when considering the evidence for the report.
During the inspection, we spoke with 11 people using the service, two relatives and four staff over the telephone. We also spoke with the registered manager and the care coordinators during our time spent in the agency’s office.
We reviewed a range of records about people’s care and the way the service was managed. These included the care records for four people, medicine administration records, staff training records, two staff recruitment files, staff supervision and appraisal records, minutes from meetings, quality assurance audits, incident and accident reports, complaints and compliments records and records relating to the management of the service. We also looked at the results from the most recent customer satisfaction surveys completed by people using the service.