Background to this inspection
Updated
19 November 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
This inspection was conducted by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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. 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We gave the provider opportunity to discuss this during the inspection. We used this information to plan our inspection.
During the inspection
We spoke with the relatives of two people about their experience of the care provided. We spoke with three members of staff and the registered manager, the head of operations and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included two people’s care and medication 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.
Updated
19 November 2019
About the service
Greenwood Homecare Grantham is a domiciliary care service, providing support to people in their own homes. At the time of inspection two people were receiving support from the service, both people had 24-hour care from staff in their own homes.
People’s experience of using this service and what we found
People had a positive experience of being supported by the team at Greenwood Homecare Grantham. People’s relatives told us they felt their relations were safe. Staff and the registered manager had a good understanding of safeguarding adults’ procedures and how to protect people from harm. Risks associated with people’s care and support were managed safely and action was taken to learn from accidents and incidents. Staff were recruited safely and there were enough staff to meet people’s needs and ensure their safety.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff were knowledgeable and had a broad range of training. People had enough to eat and drink. People had access to healthcare when they needed it, and advice was sought from specialist health professionals.
People were supported by staff who were kind and caring, staff knew people well and people were involved in making decisions about their care. People were treated with dignity and respect and their right to privacy was upheld.
The service was flexible to meet people’s needs. Staff had a good understanding of how to support people and people chose how they spent their time. There were systems in place to respond to complaints and concerns. Developments were underway to ensure people were provided with caring and compassionate support at the end of their lives.
Greenwood Homecare Grantham was well led. There was a positive culture which placed people at the heart of their care. There were effective systems to ensure the safety and quality of the service. There was strong leadership at the service and relatives and staff spoke highly of the registered manager. Staff felt supported and valued.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 January 2019 and this was the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.