Background to this inspection
Updated
25 August 2016
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.
This inspection took place on 21 April 2016 and was announced. The provider was given 48 hours’ notice because the location provides a service to one person who is often out during the day; we needed to be sure that someone would be in.
Before the inspection we checked the information we held about the service and the service provider. This included statutory notifications sent to us about incidents and events that had occurred at the service. A notification is information about important events relating to the care they provide which the service is required to send to us by law. We also looked at previous inspection reports.
Due to their disability, the person was unable to give us feedback about the service they received. As a result, we observed their interactions with the provider and spoke about the support they received. We also reviewed the person’s care record and checked policies and procedures. After our visit, we spoke with one staff member from a day service the person attended and one social care professional.
Updated
25 August 2016
Mr and Mrs Wyatt provided care and support to one person within their own home. They have done this for many years and therefore considered the person very much part of the family. Mr and Mrs Wyatt do not intend to provide accommodation or personal care to any other person.
The inspection took place on 21 April 2016 and was announced. We gave the service 48 hours’ notice of the inspection because we wanted to ensure the person and provider were available.
The service had 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.
The person was unable to tell us whether they felt safe at the service. However we observed they were relaxed and interacted happily with the provider. The provider understood their responsibilities to keep the person safe from harm and potential abuse..
The service did not have arrangements in place to act in accordance with the Mental Capacity Act 2005 when the person lacked the ability to consent to the care provided.
The person was supported to have sufficient food and drink and to maintain a balanced diet. They were also supported to maintain good health and to access healthcare services when needed.
The person was part of the family unit and treated as such. They were treated with kindness and compassion in their day to day care and support.
The person was encouraged and supported to follow their interests and be part of the community.
The provider had clear values for the service. This included keeping the person safe, promoting their independence and ensuring they received care which met their needs.
We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. You can see what action we told the provider to take at the back of the full version of the report.