Background to this inspection
Updated
9 March 2023
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
The inspection was carried out by 1 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 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 9 February 2023 and ended on 10 February 2023. We visited the office location on 9 February 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, care coordinator and office manager. We reviewed a range of records. This included both people’s care records and their medicines records. We looked at all 3 staff files in relation to recruitment, staff supervision and training. A variety of records relating to the management of the service, including policies and procedures were reviewed. We received feedback from 2 relatives about the care of their family members. We emailed 3 staff and 2 external professionals to seek their feedback about the service but did not receive a reply. After the inspection, we continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and risk assessments the provider had put in place following our inspection.
Updated
9 March 2023
About the service
Uxbridge House is a domiciliary care agency. It provides personal care to older people living in their own homes in the London Borough of Hillingdon. At the time of our inspection the service was providing care to 2 people.
Not everyone who used the service received personal care. CQC only inspects 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.
People’s experience of using this service and what we found
People were protected from avoidable harm. Risks to people’s safety and wellbeing had been assessed and the provider had done all that was reasonably practicable to lessen those risks.
People's care and risk management plans set out the care tasks they required help with and these contained personalised information about people and their preferences for how they liked to be supported.
People received their medicines in a safe way and there were systems in place to help safeguard them from abuse.
People' needs were assessed and planned for. Their health was monitored and they had access to other healthcare services. People were supported with their meals if this was part of their care plan and this was according to their needs and preferences.
There were enough staff to support people and staff were punctual. Staff received induction, training and supervision and felt supported in their roles.
The provider sought feedback from people, relatives and staff and used this to develop the service. People and staff were confident they could raise any concerns they had with the registered manager and felt they would be listened to.
There were systems for dealing with complaints, accidents and incidents. The registered manager and senior staff were responsive to and worked in partnership with other agencies to meet people’s needs.
The provider ensured there was clear communication within the team, so they learnt from mistakes and made improvements when things went wrong.
There were systems in place to monitor the quality of the service and recognise when improvements were required and these were recorded.
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.
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 5 November 2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.