Evolving Care Limited

Updated 12 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

The inspection site visit started on 7 January 2019 and ended on 9 January 2019. We gave the service two working days’ notice of the inspection because we wanted to provide an opportunity for people using the service and their representatives to share their views.

The inspection site visit was carried out by one inspector and an expert 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.

We looked at the providers Statement of Purpose. This is a document providing information as to the aims and objectives of the service, the support and services it provides and to who.

We looked at the information held about the provider and the service including statutory notifications and enquiries relating to the service. Statutory notifications include information about important events which the provider is required to send us. We also contacted the Local Authority for any information they held on the service. We used this information to help us plan this inspection.

We used information the provider sent us in the Provider Information Return. 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 spoke with the registered manager, training manager, operations manager and a care co-ordinator when we visited the office on 7 and 8 January 2019.

We spoke with six people who used the service by telephone on 8 and 9 January 2019.

We spoke with four members of staff by telephone on 9 January 2019.

We looked at the care plans and records of four people. We looked at four staff records, which included their recruitment, induction, on-going monitoring and training. We looked at the minutes of staff meetings and records related to the quality monitoring of the service.

Updated 12 February 2019

Evolving Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses or flats. It provides a service to older people. At the time of the inspection there were 35 people using the service.

At our last inspection of 20 May 2016, we rated the service as good. At this inspection we found the evidence continued to support the rating of 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.

People’s safety was promoted by staff who implemented the guidance as detailed within people’s risk assessments and care plans. People were supported by staff that had been recruited and had checks undertaken to ensure they were suitable for their role. People’s medicine was managed safely and people received their medicine on time.

People’s needs were assessed and met by staff who were trained and regularly supervised. 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 were encouraged to maintain their independence.

People had differing views as to whether they were supported by a consistent group of staff, however people said staff were caring. People’s said their privacy and dignity was respected and that they were involved in the review of their care plan.

People’s care plans were personalised to reflect the individual needs of each person and the role of staff in meeting these. Concerns and complaints had been investigated and documents supported this.

Systems were in place to monitor the quality of the care being provided, which included seeking the views of those using the service and staff. A range of audits were undertaken to evidence the quality of the care and the accuracy of records used to record people’s care and support. There was an open and transparent approach to the management of the service and staff confirmed the management team were supportive.