Background to this inspection
Updated
4 December 2015
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 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.
This was an announced inspection which took place on 21 September 2015 by an inspector and an expert by experience. The provider was given 48 hours’ notice because the organisation provides a domiciliary care service and we needed to be sure that someone would be available.
We looked at the information we held about the provider and this service, such as incidents, unexpected deaths or injuries to people receiving care, this also included any safeguarding. We refer to these as notifications and providers are required to notify us about these events.
As part of our planning for the inspections we asked the local authority if they had any information to share with us about the care provided by the service.
We spoke with 13 people who used the service, three relatives, five care staff, the registered manager and the locality manager.
We looked at the risk assessments and specific care plans care records for five people, four staff files and looked at records relevant to the quality monitoring of the service.
Updated
4 December 2015
This inspection was carried out on 22 September 2015.
The provider registered this service with us to provide personal care and support for people within their own homes. At the time of our inspection 63 people in Herefordshire received care and support from this service.
There a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, 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.
People told us that they could talk to the staff and management at any time and if they had any concerns they would be listened to.
People said that there were enough staff to meet their needs. People said that Staff holidays or sickness were covered by other staff to make sure that all planned visits could go ahead.
People received care that was safe and got the support they needed with their medicines.
People felt involved in their care and were able to make choices regarding their care and support. They told us that staff were caring and kind and knew their needs, providing them with the support that they expected.
Checks were in place to make sure that new staff were suitable to support people in their own homes and keep them safe before they were recruited.
The registered manager told us that they wanted a service that provided individual and specialised care. Checks were completed regularly to make sure that good standards of care were maintained. Feedback from the people that used the service was gathered on a regular basis and any areas identified for action were acted upon
People told us they had choice over the support they received and nothing was done without their consent. Staff understood the principles of consent and delivering care that was individual to the person.