Background to this inspection
Updated
26 August 2022
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service is currently not supporting people living in supported living settings.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
Inspection activity started on 25 July 2022 and ended on 2 August 2022. We visited the location office on 26 July 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with two people who used the service, four relatives and four health professionals who worked with the service. We spoke with eight members of staff including the registered manager, provider and community support workers. We reviewed a range of records including four people’s care records and call times. We looked at three staff files and a variety of records relating to the management of the service and policies and procedures.
Updated
26 August 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities which most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Woodleigh Healthcare (Leicester Branch) Limited is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides care to children, younger adults and older people living with mental health needs, including those living with dementia, physical disability, learning disability and autism. At the time of inspection the service was providing personal care support to seven people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support
Staff recruitment process and training promoted safety.
The service had enough trained staff to meet people’s needs and keep them safe. Staff were matched with people so that they formed a good relationship which built up trust.
People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Quality assurance systems were in place to promote people’s safety. Systems also ensured staff were supported and their knowledge and skills were kept up to date.
Right Care
Staff were trained for their role and to provide safe care. Staff were trained in how to recognise abuse and protect people from avoidable harm. Staff knew how to report abuse and use the whistle-blowing procedure.
People told us they received care and support from a regular reliable core staff team who were always on time.
Care provided to people was person-centred and promoted people’s dignity, privacy and human rights. Potential risks to people's safety were assessed, managed and reviewed regularly. Care plans reflected a good understanding of people’s needs, including relevant assessments of people’s communication needs. People’s care and support was kept under review.
People received their medicines on time and as prescribed.
Right Culture
The registered manager understood their responsibilities and worked in an open and transparent way. People and relatives found the registered manager approachable and were confident to raise concerns or complaints. They said the registered manager always listened to any concerns and acted on them.
Staff turnover was low, which supported people to receive consistent care from staff who knew them well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for the service under the previous address was good (published 13 March 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern.
Please see the safe and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodleigh Healthcare (Leicester Branch) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.