Last updated 29 December 2018
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 registered persons continued to meet 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.

We used information the registered persons sent us in the Provider Information Return. This is information we require registered persons to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also examined other information we held about the service. This included notifications of incidents that the registered persons had sent us since our last inspection. These are events that happened in the service that the registered persons are required to tell us about. We also invited feedback from the commissioning bodies who contributed to purchasing some of the care provided by the service. We did this so that they could tell us their views about how well the service was meeting people's needs and wishes.

We visited the scheme on 3 December 2018 and the inspection was announced. We gave the service 48 hours’ notice because the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available to contribute to the inspection. The inspection team comprised two inspectors.

We spoke with the administrator, two team leaders and four care staff. We also spoke with the registered manager, the chief executive officer and the chairperson of the charitable organisation’s management board. We looked at the care records for six people who used the service. We also examined records relating to how the service was run including the times and the duration of care calls, staffing, the management of medicines, the obtaining of consent and the delivery of training. In addition to this, we examined the systems and processes used to assess, monitor and evaluate the service.