Background to this inspection
Updated
17 September 2021
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.
Service and service type
This service is a domiciliary care agency. It provides nursing and personal care to people living in their own houses.
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. The registered manager was away from work at the time of the inspection, the providers quality and governance lead was covering the management of the service and is referred to in this report as the manager.
Notice of inspection
This inspection was announced.
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 17 August 2021 and ended on 23 August 2021. We visited the office location on 20 August 2021.
What we did before inspection
We reviewed information we had received about the service since registration with the Care Quality Commission. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.
During the inspection
We spoke with three parents of children who used the service about their experience of the care provided. We spoke with six members of staff including the covering manager, care workers and the director of complex care.
We reviewed a range of records. This included four children’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We received written feedback from three professionals who have regular contact with the service.
Updated
17 September 2021
About the service
Invent West Sussex is a domiciliary care agency providing nursing and or personal care to children and adults living with families or in their own homes in the community. CQC only inspects where people receive nursing and or personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection the service was supporting twelve children under the age of sixteen years, who have complex nursing and or health care needs, some children had additional learning disabilities.
At the time of the inspection InVent West Sussex were providing waking night support and some daytime and at school support for children living in their family homes.
People’s experience of using this service and what we found
Parents and professionals told us where staff were consistent, the care was good.
Children's privacy, dignity and confidentiality were respected by caring staff. Staff listened to children and their parents and communicated with them in the most accessible way.
Children were encouraged to be as independent as possible and staff spoke proudly of children's achievements. Parents told us they felt their children were well supported by regular staff.
There were policies and procedures regarding the safeguarding of children and adults and staff knew what action to take if they thought anyone was at risk of potential harm.
Risk assessments were carried out to make sure children received their care safely and had opportunities to take part in their own care. Assessments were age appropriate and promoted their independence.
Medicines were managed safely, and staff had a good knowledge of the medicine systems and procedures. Staff had received training and had competency assessments of their practice
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and
Independence. Care is provided in the child’s family home, with care staff working in partnership with the parents and child
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
Rights. Plans are centred on the needs and preferences of the child. Parents spoke highly of their regular carers developing positive relationships with the child and family and knowing them well.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people
using services lead confident, inclusive and empowered lives. InVent promotes diversity in its workforce and staff told us managers were flexible and supportive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 17 April 2020 and this is the first inspection.
Why we inspected
This was a planned first inspection following registration with the Care Quality Commission (CQC).
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.