Updated 9 January 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
This inspection was carried out by an 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.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service did not have 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. However, we saw evidence the new manager was in the process of registering with CQC.
Notice of inspection
This inspection was unannounced.
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 commissioning and safeguarding teams. 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 took this into account when we inspected Napier Homecare and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke about Napier Homecare with four people, four relatives, five staff, the manager and the provider. We looked at records related to the management of the service. We did this to ensure the provider had oversight of the service, responded to any concerns and led Napier Homecare in ongoing improvements. We checked care records of three people and looked at staffing levels, recruitment procedures and quality oversight.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at medication and training records, as well as their quality assurance systems.