Background to this inspection
Updated
28 March 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 team consisted of two adult social care inspectors.
Service and service type:
Audley Care Clevedon is a domiciliary care agency that provides personal care and
support to people living in their own homes, within a residential community and within the wider
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.
Notice of inspection:
We gave the service 48 hours' notice of the inspection site visit because we needed to be sure the registered manager and staff would be available.
Our inspection site visit activity started on 1 March 2019 and ended on 5 March 2019. We visited the office location on 4 March 2019 to see the registered manager and office staff and to review care records, policies and procedures.
What we did:
Before the inspection, we reviewed information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give 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 such as the local authority and a health care professional.
On 1 March 2019 we spoke with two people who use the service on the telephone and visited three people and two relatives in their own homes.
On 4 March 2019, we reviewed a range of documentation. This included four people’s care records and medication records, three staff recruitment files, staff training records and other records relating to the running and audit of the service. We also spoke with the registered manager, the deputy manager, the care manager, the quality care supervisor, two area managers, three staff members, two people who use the service and one relative.
On 5 March 2019, we spoke with four staff members on the telephone.
Following our inspection, the registered manager sent us additional evidence and information which we reviewed and used as part of our inspection judgement.
Updated
28 March 2019
About the service:
Audley Care Ltd – Audley Care Clevedon is a domiciliary care agency, providing services to older adults and people with physical disabilities and complex health needs. At the time of our inspection 38 people received personal care from the service.
Not everyone using the service receives the regulated service of personal care. CQC only inspects the personal care service provided to people, that is help with tasks related to personal hygiene and eating. Where personal care is provided to people, we also take account of any wider social care provided.
People’s experience of using this service:
Staff were exceptionally caring. Everyone we spoke with was extremely complimentary about staff and the service. People told us they would not hesitate to recommend the service. There was a strongly embedded culture within the service of treating people with dignity, respect, compassion and love.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s healthcare needs were being met and medicines were being managed safely. Staff knew people very well, including their likes, dislikes and care needs. Staff supported people to access activities in the local community and care village.
People told us they felt safe and staff had been trained to recognise and report suspected abuse. A complaints procedure was in place and people knew how to complain.
Care plans were up to date and detailed what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate identified risks.
Staff were mostly recruited safely although we found the required amount of references had not been obtained in one candidate's recruitment profile. There were enough staff to take care of people. Staff were receiving appropriate training and updates. Staff told us the training was good and relevant to their role. Staff were supported by the registered manager and were receiving formal supervision and appraisal where they could discuss their ongoing development needs.
The provider had effective systems in place to monitor the quality of care provided and acted to make improvements when issues were identified. People and staff praised the registered manager and the management team. They told us they were approachable and supportive.
The service met the characteristics of ‘Good’ in all domains. More information is in the full report.
Rating at last inspection: The service was rated good at our last inspection in September 2016.
Why we inspected:
This was a planned inspection based on the rating at our last inspection. At this inspection we found the service remained good in all domains.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.