Background to this inspection
Updated
1 June 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 is 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.
This inspection took place on 13 April 2016 and was announced. The inspection was undertaken by one Inspector.
We reviewed the information we held about the home and looked at the notifications they had sent us. A notification is information about important events which the provider is required to send us by law.
As part of the inspection we spoke to eight people receiving care at the service. We also spoke with one relative, two care staff, the deputy manager and the registered manager.
We reviewed two care records, the complaints folder, recruitments processes, monthly checks the registered manager completed as well as results of checks the registered provider undertook.
Updated
1 June 2016
The inspection took place on 13 April 2016 and was announced.
We gave the provider 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their homes; we needed to be sure that someone would be available at the office. People lived within their own individual flats and shared some communal areas.
The provider registered this service with us to provide personal care and support for people with a range of varying needs including dementia, who live in their own homes.
At the time of our inspection 26 people received support with personal care. A registered manager was in post when we inspected the service. 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 and associated Regulations about how the service is run.
People told us they were safe and that care staff supported them to remain safe. People told us they felt comfortable with the care staff supporting them and care staff understood what it meant to keep people safe from harm.
People were supported by regular care staff who understood their individual needs. Care staff understood people’s health and the risks to their health. They understood what precautions needed to be adhered to keep people safe and which symptoms to monitor. People told us they were able to access help when they needed it and care staff felt care staffing levels were adequate.
People received their medications as prescribed and regular checks were made to ensure that care staff understood how people needed to be supported to take their medications.
Care staff understood how to care for people. Staff training was regularly monitored to ensure care staff had access to training that kept their knowledge up to date. Care staff accessed regular supervision and feedback on their performance.
People accessed additional medical help and support when it was required and were supported by care staff to access this.
People felt cared for by care staff they regarded as their friends. Regular care staff supported them which helped care staff understand people’s individual needs.
People were treated with dignity and respect by care staff who understood what this meant for people.
People fed back on the care being delivered in a number of ways. People spoke with care staff and the registered manager individually or attended meetings at the service. People also participated in spot checks to check they were satisfied with the care they were receiving.
People had confidence in the registered manager and that their concerns or feedback were taken seriously and acted upon. Peoples care was reviewed and updated regularly and where appropriate feedback from external partners was sought.
The registered provider made regular checks of the service to ensure that the quality of care being delivered met their expectations.