Background to this inspection
Updated
10 May 2017
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 was 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.
The inspection took place on 7 March 2017. This was an announced inspection, which meant the registered provider knew we would be visiting. This was because it was a domiciliary care agency and we wanted to make sure that the registered manager or someone who could act on their behalf would be available to support our inspection.
The inspection team consisted of one adult social care inspector and two experts by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Before the inspection, we reviewed the information we held about the service. We looked at any complaints we received and statutory notifications sent to us by the provider. A notification is information about important events which the provider is required to tell us about by law. We also consulted the local authority for their views and feedback.
During the inspection, we spoke with the registered manager, the operations manager, four care staff, including supervisors, a care coordinator and office staff. We spoke with 40 people who used the service and 15 relatives by telephone.
We looked at eleven people’s care records and other records relating to the management of the service. This included ten staff recruitment records, duty rosters, online systems, incidents, complaints, quality monitoring and medicine records.
Updated
10 May 2017
This comprehensive inspection took place on 7 March 2017. The registered provider was given 48 hours’ notice because the service provides a domiciliary care service in people’s own homes and we needed to be sure that someone would be available to assist with the inspection.
We last inspected the service in July 2015 and found that the service required improvement because there were breaches in legal requirements. We carried out a focussed inspection in May 2016 to check that the service had followed their action plan and we confirmed that they now met legal requirements.
Rosemont Care Limited delivers personal care and reablement support to people in their own homes within the London Borough of Havering and some areas of Barking and Dagenham. At the time of our inspection, approximately 142 people were using the service. The service was employing 63 care workers who visited people living in the community.
A reablement service aims to provide short term support to people in order for them to stay independent in their own home by regaining daily living skills and improving their quality of life often following a stay in hospital.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered care homes, 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.
We found that systems were in place to ensure people were protected from the risk of abuse. Staff were able to identify different types of abuse and knew how to report any concerns. Where visits to people were missed by staff and a person placed at risk, disciplinary action was taken by the provider.
People received care at home from staff who understood their needs. People had their individual risks assessed and staff were aware of plans to manage the risks. However, we found that where people had specific health conditions, risk assessments did not contain sufficient information for staff to help keep people safe.
When required, staff administered people’s medicines and had received the appropriate training to do this. The provider had sufficient numbers of staff available to provide support to people. Staff had been recruited following appropriate checks with the Disclosure and Barring Service.
Staff received training in a number of topics that were important for them to be able to carry out their roles. They told us that they received support and encouragement from the registered manager and were provided opportunities to develop. Staff were able to raise any concerns and were confident that they would be addressed.
People were treated with privacy and dignity. They were listened to by staff and were involved in making decisions about their care and support. People were supported to meet their nutritional needs. They were registered with health care professionals and staff contacted them in emergencies.
People told us they received support from staff who understood their needs. Care plans were personalised and provided staff with sufficient information about each person’s individual preferences.
A complaints procedure was in place. People and their relatives were able to make complaints, express their views and give feedback about their care. They told us they could raise any issues and that action would be taken by the registered manager.
The management team was committed to developing the service and monitoring the quality of care provided to people. They ensured that regular checks and audits were carried out and looked at where improvements could be made. We have recommended that guidance on people's health conditions is monitored as part of quality assurance checks.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the report.