Background to this inspection
Updated
22 December 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 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 was a comprehensive inspection that took place on 30 November 2018. The inspection was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure the provider was available to assist us with our inspection.
The inspection team consisted of one inspector. Prior to this inspection we reviewed the information we held about the service. This included important events the service must tell us about by law, previous inspection reports and feedback we received from the commissioners of the service. We reviewed the Provider Information Return (PIR) that we had received from the provider. The PIR is a document that tells us what the provider feels they do well and what improvements they plan to make to the service.
We spoke with two people who used the service, two staff and a healthcare professional who regularly worked with the service. We also spoke with the provider and deputy manager.
The records we viewed included three people’s care records, two people’s medicine records, two staff recruitment records, staff training records and other information in relation to how the provider monitored the quality of care people received.
Updated
22 December 2018
Addocare Scole is a service that provides support to people in their own homes. At the time of the inspection, ten people were using the service for personal care.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated good.
Staff understood how to protect people from the risk of abuse and avoidable harm. There were enough staff available to provide support to people when they wanted it. Staff knew how to protect people from the risk of infection however, improvements are required so the provider can be sure that people have received their medicines correctly.
People had a say in how their care was to be delivered. They were listened to and their opinions respected and they were supported to have maximum choice and control of their lives.
Staff had received relevant training and supervision to make sure they provided people with safe care that met their individual needs. The provider had established good relationships with other health and social care professionals to ensure people were supported with their healthcare and to maintain their independence.
The provider and staff were kind and caring. They provided people with compassionate care at all times, including at the end of people’s lives. People were treated with respect and their dignity was upheld.
Good leadership was in place. This had resulted in the staff being well supported and happy in their work. The provider had instilled a culture within the service where the person was treated as an individual and was respected.
The provider was keen to continually improve the service where they could. They had systems in place to monitor the quality of care provided and were open to suggestions for improvement.
We have made one recommendation regarding the provider becoming more familiar with the Accessible Information Standard. This is a standard that is in place to improve how care services provide people with information where they require support with their communication needs.
Further information is in the detailed findings below.