Background to this inspection
Updated
11 July 2023
The 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. 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.
Inspection team
This 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 homes. It provides a service to older adults.
Registered Manager
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 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.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We also used information gathered as part of monitoring activity that took place on the 9 January 2023 to help plan the inspection and inform our judgements. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We requested an updated action plan from the registered manager regarding the breaches we found at our last inspection. We used all of this information to plan our inspection. Multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed before and after the inspection.
During the inspection
We spoke with the registered manager and the director of the service. We reviewed a range of records. This included people’s care records and medicine administration records, risk assessments, staff training and supervisions and audits. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Following the inspection, we spoke with relatives to obtain their views of the service. We also contacted 2 members of staff to ask them questions about their roles and to confirm information we had received about the service during our inspection.
Updated
11 July 2023
About the service
Wide Way Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults. 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.
People’s experience of using this service and what we found
There were systems were to ensure people were protected from risk of harm. The registered manager and staff were aware of procedures to follow to safeguard people. Records were in place to monitor any specific areas where people were more at risk and explained what action staff needed to take to protect them. There were enough staff to meet people’s needs and the recruitment procedures were robust. The service had an efficient system to manage accidents and incidents and learn from them so they were less likely to happen again. Medicines were well managed on people’s behalf. There were systems in place for the monitoring and prevention of infections.
Staff received appropriate training, support and development which enabled them to meet people’s needs effectively. They had opportunities on a regular basis to discuss their learning and development through one-to-one meeting with the registered manager. Staff supported people in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice. People were supported by staff and external health professionals to maintain their health and wellbeing.
People received care and support in accordance with their preferences, interests and diverse needs. They were involved in the planning of their care. There was a complaints procedure in place and people knew how to make a complaint. People had the privacy they needed and were treated with dignity and respect at all times. They were supported to be as independence as possible.
There was an open and inclusive culture in the service, with staff, people, relatives and other external professionals encouraged to help improve the service provided to people. There were effective procedures in place to monitor the quality of the service and where issues were identified action was taken to address these to promote continuous improvement. Regular audits and checks took place. The service worked in partnership with other organisations to support and care for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for the service was requires improvement (published on 28 September 2019) and there were breaches of Regulation 9 (person centred care), Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 18 (staffing). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.