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Inspection Summary


Overall summary & rating

Good

Updated 31 August 2016

This inspection took place on 1 and 12 July 2016 and was unannounced.

One Community offers a range of services to the local authority but the part of the service which is regulated and inspected is known as the Care and Respite Service, or the Take a Break service. The service supports people, who may be older, disabled, have physical or mental health needs and who live with other people who care for them, known as “carers.” A “sitting” service enables carers to have a break for a few hours, on a weekly, fortnightly or monthly basis. The main role of staff is to be with people who would be vulnerable if left alone, to ensure they are safe. Whilst spending time with people, they engage in conversation or activities, if the person wishes. Additionally, people sometimes require support with personal care, such as going to the bathroom. The service does not offer personal care as a stand-alone service. At the time of our inspection the service was provided to 29 people, but not all of these would have needed support with personal care.

The provider had a recruitment procedure which ensured relevant checks were completed before new staff started work. Staff and trustees had completed training with regard to safeguarding adults and staff described different types of abuse and what they would do if they suspected or witnessed anything of concern. People had risk assessments in place which identified potential risks and action to be taken to minimise the risks, for example, using equipment to support people moving from a chair to a bed. The service did not routinely support people with their medicines due to the short amount of time staff spent with people but staff had received training in medicines awareness and could prompt people to take their medicines if this formed part of the care plan.

Staff had received training in the Mental Capacity Act and talked about giving people choices in what they ate and drank, or whether they went out. Everyone had their needs assessed before they were offered a service, to ensure staff could meet their needs. The care co-ordinator visited people at home to complete the assessment so they could see them in their home environment. People and their family members received a service which was responsive to their needs.

The service had a registered manager, however, they had recently left the company and had applied to the commission to cancel their registration. 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 2008 and associated Regulations about how the service is run. The provider advised us they were due to start the process of interviewing for the role. The provider did not return a Provider Information Return and we took this into account when we made the judgements in this report.

Staff were supported in their role through training which was useful and relevant as well as supervision. The provider ensured they kept up to date with best practice, which was then delivered to staff through training.

Due to the nature of the service, staff did not usually cook meals or provide meals for people as they lived with people who supported them to eat and drink enough, but did sometimes make a cup of tea or provide a meal the carer had prepared. People did not routinely need support from staff regarding their health care but staff were aware of people’s needs.

People benefitted from positive caring relationships with staff who spent time with them. Staff were not employed to undertake personal care but sometimes people needed support as part of the sitting service. Staff knew how to respect people’s privacy and dignity in this regard.

The provider had a complaints procedure in place which was given to people when the service started to support them.

The service promoted a positive culture which was open and inclusive. Feedback was sought from people and their carers and the provider sent staff a quality assurance survey every two years.

Inspection areas

Safe

Good

Updated 31 August 2016

The service was safe.

The provider had a recruitment procedure in place which ensured new staff were safe to support people in their own homes.

Risk assessments were in place but did not always identify every risk.

Staff were trained to support people with their medicines if necessary but people’s needs were not up to date in their care plans.

People’s needs were met by adequate staffing levels.

Effective

Good

Updated 31 August 2016

The service was effective.

People were asked what they wanted to eat and drink, or what activities they would like to do with the staff member who was sitting with them.

People were supported by staff who were trained and whose quality of work was monitored through supervision and appraisal.

Staff supported people with eating and drinking when necessary.

Caring

Good

Updated 31 August 2016

The service was caring.

People benefitted from positive caring relationships with staff who spent time with them.

People and their carers were involved in making decisions about how staff could support them.

Staff were aware of the importance of respecting people’s privacy and dignity if they supported them with personal care.

Responsive

Good

Updated 31 August 2016

The service was responsive.

People’s needs were assessed and people were supported by staff who knew them well.

There was a complaints procedure in place which people felt able to use.

Well-led

Requires improvement

Updated 31 August 2016

The service was not always well led.

The provider did not complete a Provider Information Return which we requested from them.

The service promoted a positive culture which was open and inclusive.

The provider monitored the quality of the service provided through seeking and acting on the views of staff.