Background to this inspection
Updated
16 August 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. 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 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 people living in their own home.
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.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We reviewed a range of records. This included two people’s care records, including their medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
We spoke with the deputy manager and the training and development manager who both facilitated the inspection when we visited the office on 16 July 2019.
We spoke with two people and three people’s family member who spoke on their behalf, by telephone on 19 July 2019.
We spoke with two care staff by telephone on the 18 and 19 July 2019.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and minutes of management meetings.
Updated
16 August 2019
About the service
2M Health & Home Care Services is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there were seven older adults using the service.
People’s experience of using this service and what we found
People’s safety was promoted by staff who followed guidance on how to reduce potential risk. This included the use of equipment to support people moving around their home. People were supported by sufficient numbers of staff who had undergone a robust recruitment process. People were supported with their medicines. Staff training in key safety areas promoted people’s safety, which included staff knowledge and understanding of reporting potential safeguarding concerns and following infection control procedures.
People’s needs and expectations of care were assessed and used to develop a package of care, to support the person at home. People’s needs were met by staff who had the necessary skills and knowledge. Staff were supported through ongoing training and supervision to enable them to provide good quality care. Staff promoted people’s health by supporting them to take their medicine and by liaising with health care professionals when required.
People were supported to have maximum choice and control of their life and staff supported them in the least restrict way possible and in their best interests; the policies and systems in the service supported this practice.
People and their family members spoke favourably about staff and the positive and supportive relationships that had developed. They spoke of the caring and compassionate nature of staff and how staff considered their privacy, dignity and independence.
People and family members were involved in the development of care plans, which enabled staff to provide the care and support each person had agreed was appropriate to them. People’s views about the service were regularly sought to develop the service. Those we spoke with were confident to raise concerns when they arose.
The management team were aware of their role and responsibilities in meeting their legal obligations. Systems to monitor the quality of the service were in place. The provider worked with key stakeholders to facilitate good quality care for people, and to keep up to date with good practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 25 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.