Updated 19 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This was an announced comprehensive inspection, which took place on 15 May 2019 and was undertaken by two inspectors 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:
Access 2 Care Nottingham Limited is a domiciliary care agency, who provide personal care and support for 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 visit because we visited the office location of the service and needed to be sure that the registered manager would be available.
What we did:
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider completed and returned the PIR and we considered this when we made judgements in this report. We also reviewed other information that we held about the service such as notifications, which are events which happened in the service that the provider is required to tell us about, and information that had been sent to us by other agencies.
During our inspection, we spoke with six people who used the service, and eight relatives of people who used the service to ask about their experiences of their care. Following the inspection, we spoke with a health professional who has worked with the service previously.
We spoke with the registered manager, office manager, trainer/senior care worker, a senior care worker and four care staff.
We looked at the care records of seven people to see whether they reflected the care given and five staff recruitment records. We looked at other information related to the running of and the quality of the service. This included quality assurance audits, training information for care staff, and minutes of meetings with staff and arrangements for managing complaints.