Updated 25 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 was carried out by one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to children and young adults living in their own houses and flats in the community.
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. A service manager had commenced employment approximately six weeks prior to the inspection and had applied to register with CQC.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. Inspection site visit activity started on 13 March 2019. We visited the office location on 13 March 2019 to see the registered manager and to review care records and policies and procedures. We called additional staff and relatives on 21 March 2019.
What we did:
We used information the provider sent to us in the Provider Information return (PIR). This is information we require providers to send to us to give us some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service, including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders, for example, the local authority and members of the public.
During the inspection, we spoke to the registered manager, service manager and two staff members.
We looked at the care records for two people, four staff employment related records and records relating to the quality and management of the service. We spoke with one relative on the telephone following the inspection.