Background to this inspection
Updated
15 July 2022
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 Health and Social Care Act 2008.
Inspection team
This 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 houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post. Following our inspection, we spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. Please see our comments recorded in the well-led section of this report.
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.
Inspection activity started on 24 June 2022 and ended on 7 July 2022. We visited the location's office on 24 June 2022.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
During the site visit we spoke with the registered manager. We reviewed a range of records. This included one person's care plan and training records.
After the inspection
We continued to seek clarification from the service to validate evidence found. We spoke by telephone with a relative whose loved one received this service as well as the nominated individual.
Updated
15 July 2022
About the service
Kayla Supported Living Ltd is a domiciliary care service providing personal care and support to people living in their own homes.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. CQC only inspects this kind of service where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, there was one person receiving personal care from the service.
People’s experience of using this service and what we found
The application of prescribed topical creams was recorded in daily notes, but following our inspection, the registered manager introduced a medicine administration record as well as a system of auditing.
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. There was no formal recording of mental capacity. Following our inspection, a suitable assessment of capacity and best interest decision were put in place.
The staff team understood how to recognise the signs of possible abuse. We were not fully assured that appropriate reporting procedures were understood correctly, but steps have been taken to address this.
Feedback from a relative demonstrated they were very pleased with the care provided by both the registered manager and nominated individual. This was person-centred and recognised the need to promote independence. Staff placed importance on maintaining privacy and dignity when providing personal care, and the relative said they were happy with this.
Issues found at this inspection had not been identified by the provider beforehand. The service was well run by a registered manager who was enthusiastic and eager to learn. Following our inspection, they made contact with a local registered managers’ network which showed their interest in developing and expanding their service.
Risks had been assessed, monitored and reviewed and staff understood what these were. There were sufficient numbers of staff who always arrived on time and stayed the full duration of the call. Staff always wore PPE to reduce the risk of passing on infectious diseases, including COVID-19.
Both staff members were capable of addressing healthcare needs. They were able to spot signs of health deterioration and shared this with their relatives.
Staff had been trained in key subjects, although the nominated individual needed refresher dementia care training. This was dealt with following our inspection.
Care records were person-centred and suitably reflected individual needs and preferences.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 27 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.