25 February 2023
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 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.
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.
Inspection activity started on 26 January 2023 and ended on 3 February 2023. We visited the location’s office on 26 January 2023.
What we did before the inspection
We reviewed the information we held about the service. 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 used all this information to plan our inspection.
During the inspection
We spoke with 1 person who used the service and 3 relatives about their experience of the care provided. We received feedback from 7 members of staff including the registered manager and care staff. We spoke with 1 healthcare professional who has regular contact with the service.
We reviewed a range of records. This included 3 people’s care and medicines records, 3 staff files in relation to recruitment and a variety of records relating to the management of the service.
25 February 2023
About the service
Servoca Complex Care - Chelmsford is a domiciliary care agency providing personal and nursing care to people living in their own homes. 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. At the time of our inspection there were 11 people receiving personal care support.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People were supported by a consistent staff team who knew them well and understood how they liked to be supported. There were enough staff available to meet people’s needs. The provider had systems in place to recruit staff safely; however, not all relevant checks had been documented.
Staff received an induction when starting in their role and had completed a range of appropriate specialised training to underpin their skills and knowledge. Staff told us they felt valued and supported in their roles and were able to discuss any concerns with the management team.
The provider had assessed and monitored risks to people’s safety. There were systems in place to safeguard people from the risk of abuse and staff knew how to recognise and report any concerns about people’s safety. Staff received medicines training and the provider had processes in place to monitor the safe administration of medicines.
People and relatives told us the staff were kind and caring in their support. People’s care was personalised, and they were able to make choices about how and when they received their care. 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.
The provider had effective systems in place to monitor the quality and safety of the service. People, relatives and staff spoke positively about the culture and leadership of the service. The provider worked closely alongside other healthcare professionals to support people’s health needs and enable them to achieve good outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 9 December 2021 and this is the first inspection.
Why we inspected
This was a planned inspection as the service had not been rated since its registration.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.