Background to this inspection
Updated
9 November 2016
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 was 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 visits took place on 26 September 2016 and 3 October 2016 and were announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that the registered manager would be available to assist us with our inspection.
The inspection was carried out by one inspector.
Before the inspection we reviewed the information we held about the service. This included any notifications we had received. Notifications tell us about important events which the service is required to tell us by law.
We also contacted Healthwatch Leicestershire who are the local consumer champion for people using adult social care services to see if they had any feedback about the service.
We reviewed a range of records about people’s care and how the service was managed. This included the plans of care of the two people currently using the service and associated documents including risk assessments. We also looked at the training records and the quality assurance audits that the registered manager and care manager completed.
We visited the two people who were using the service. This was to check that they had an up to date plan of care in place and to determine whether they were satisfied with the support they were receiving.
During our visits we spoke with the registered manager and the care manager.
After the inspection visit we telephoned a relative of each of the two people using the service. This was to gather their views of the service being provided.
Updated
9 November 2016
This inspection took place on 22 September 2016 and 3 October 2016 and was announced. The provider was given 48 hours’ notice because the location provides a small domiciliary care service and we needed to be sure that someone would be available to assist us. The service provided domiciliary care and support to people living in the Loughborough area. At the time of our inspection there were two people using the service.
The service had a registered manager. 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's support was being provided by the registered manager and the care manager as the service did not currently employ other staff.
People told us they felt safe with the registered manager and the care manager who supported them. They told us that they were looked after well by them and their relatives agreed.
The registered manager and care manager knew their responsibilities for keeping people safe and knew what to do if they were concerned about one of the people using the service.
The risks associated with people’s care and support had been assessed to make sure people were kept safe whenever possible.
The registered manager and care manager understood their responsibilities with regard to people’s medicines though had yet to complete training in this area. This was addressed following our visit.
A recruitment process was in place and this would be followed if a new member of staff were to be recruited. This would make sure that only suitable people worked at the service.
The registered manager and care manager knew the needs of people they were supporting well and provided care and support at agreed times.
An initial assessment of people’s needs had been carried out prior to their care and support commencing and the people using the service had been involved in developing their plan of care.
The registered manager and care manager understood the principles of the Mental Capacity Act 2005 (MCA) though had yet to complete training in this subject. People using the service told us that their consent was always obtained before their care and support was provided.
Whilst the registered manager and care manager had completed training in the safeguarding of adults and moving and handling, formal training in safe handling of medicines, food hygiene and MCA had yet to be completed. This was addressed following our visit.
People using the service told us that the registered manager and care manager were kind and caring and they provided their care and support in the way they preferred.
People using the service had been given a copy of the providers complaints policy and they and their relatives knew what to do if they were unhappy with the service they received.
People had the opportunity to be involved in how the service was run. They were able to discuss their views of the service on a daily basis and questionnaires were also used to gain their feedback.
The registered manager and care manager monitored the service on a daily basis so that they could be confident that people received the care and support they needed. The care manager told us that these would be made more formal in future so that they could properly demonstrate the monitoring processes that were in place.