Updated 24 March 2023The 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.
The 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.
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 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.
What we did before the inspection
We reviewed notifications and information we had received about the service since the last inspection. We checked information held by Companies House and the Information Commissioner’s Office. We checked for any online reviews and relevant social media content of the provider’s website. 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 this information to plan our inspection. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people and 2 relatives. We spoke to and received feedback from 8 members of staff, including the registered manager, deputy manager and care staff. The registered manager was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records including 4 people’s care records and medicines administration records. We reviewed 4 staff recruitment and selection files. We also looked at a variety of documents relating to the management and quality assurance in the service, including training, supervision and spot check documents, audits, policies and procedures.
After the site visit, we continued to seek clarification from the manager to validate evidence found and received additional documents and information to inform our inspection. We received feedback from 2 health and social care professionals who engaged with the service.