Updated 26 March 2019The 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Our inspection was completed by two adult social care inspectors 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:
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Not everyone using Oxford House Community Care receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit so the manager had time to arrange gaining consent from people for us to shadow home visits. We also gave notice to the manager to ensure they would be available to assist us with our inspection.
Inspection site visit activity started on 31 January 2019 and ended on 7 February 2019. We visited the office location on both dates to see the manager and office staff; and to review care records and policies and procedures.
What we did:
Our inspection was informed by evidence we already held about the service. We were aware of a safeguarding strategy meeting regarding the alleged neglect of a person using the service, so we looked at safe systems and mitigating actions during the inspection. We checked for feedback we received from members of the public, and local authorities. We checked records held by Companies House and the Information Commissioner's Office (ICO).
Due to technical problems, we did not ask the provider to complete a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements.
We telephoned 18 people using the service and 17 relatives on 31 January 2019 and 1 February 2019 to gather their feedback. We shadowed two different care workers during two homes visits. We spoke with the registered manager, eight care workers, the care manager, the care co-ordinator, one area supervisor, one senior care worker, the office support and the accountant. We emailed staff members, commissioners and other healthcare agencies to gather their feedback and received five responses.
We reviewed parts of 15 people's care records including care plans, risk assessments and medicines administration records. We checked five staff personnel files, 14 accident and incident reports and other records about the management of the service. After our inspection, we asked the registered manager to send us further documents which we received promptly and reviewed as part of our inspection.