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Inspection Summary


Overall summary & rating

Good

Updated 14 March 2017

This inspection took place on 13 February 2017 and was announced. The provider was given 48 hours because the location provides a domiciliary care service; we need to be sure that someone would be available in the office.

Spectrum Continuing Care CIC provides personal care and support to people in their own homes. At the time of this inspection they were providing a personal care service to nine people with a variety of care needs living in the Southampton area.

There was a registered manager at 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 2008 and associated regulations about how the service is run.

At the last inspection in December 2015, we asked the provider to take action to make improvements to the quality monitoring procedures and to ensure people's legal rights to make decisions were assured and the Mental Capacity Act 2005 was fully implemented. The registered manager sent us an action plan and at this inspection we found this action has been completed.

People felt safe and staff knew how to identify, prevent and report abuse. Legislation designed to protect people's legal rights was followed correctly. Staff were aware of consent and how this affected the care they provided. People said staff always obtained their consent before providing care. Staff offered people choices and respected their decisions. People were supported and encouraged to be as independent as possible and their dignity was promoted.

The registered manager and provider were aware of key strengths and areas for development of the service. Quality assurance systems were in place using formal audits and through regular contact by the provider and registered manager with people, relatives and staff. People and relatives were able to complain or raise issues on a formal and informal basis with the registered manager and were confident these would be resolved. Plans were in place to deal with foreseeable emergencies and staff had received training to manage such situations safely.

Care plans provided comprehensive information about how people wished to be cared for and staff were aware of people's individual care needs and preferences. Reviews of care involving people were conducted regularly. People had access to healthcare services and medicines were managed safely. People received support to manage their dietary needs if required.

People and their relatives said they were very happy with the service and care they received. They said staff were kind and caring. Staff had built good relationships with the people they provided care for. People and their relatives told us care was provided to them with respect for their dignity by a consistent care staff team. There were enough staff to meet people's needs. The recruitment process helped ensure staff were suitable for their role. Staff received appropriate training and were supported in their work.

Inspection areas

Safe

Good

Updated 14 March 2017

The service was safe.

People felt safe as there were systems in place to recognise and respond to abuse. Staff had received training in safeguarding adults and were aware of how to use safeguarding procedures.

There were safe medication administration systems in place and people received their medicines when required. Risks associated with the delivery of care were assessed and steps taken to minimise that risk.

There were enough suitably skilled and knowledgeable staff to support people when they required them. Recruitment procedures were followed to ensure staff were safe to work with people.

Effective

Good

Updated 14 March 2017

The service was effective.

Staff were aware of consent and how this affected the care they provided. People said staff always obtained their consent before providing care. Systems were in place to support people who may be unable to make some decisions and ensure their legal rights were protected.

Staff received sufficient training to give them the knowledge and skills to support people and meet their needs. Staff received support and supervision with systems were in place to enable staff to speak with the registered manager regularly and whenever required.

People received support to manage their dietary needs if required. Staff knew people’s needs and people received appropriate health and personal care.

Caring

Good

Updated 14 March 2017

The service was caring.

People and their relatives said staff were kind and caring. Staff had built good relationships with the people they provided care for.

Staff respected people’s privacy and dignity. People felt involved in their care and that they were encouraged to be as independent as they could be.

Responsive

Good

Updated 14 March 2017

The service was responsive.

People told us the care they received was personalised. People’s needs were reviewed regularly to ensure this remained appropriate for the person.

The registered managers sought feedback from people and made changes as a result. An effective complaints procedure was in place.

Well-led

Good

Updated 14 March 2017

The service was well led

Staff understood their roles and responsibilities and were given guidance and support by the management team. Systems were in place to monitor the quality of the service provided.

Staff could access advice and guidance as needed.

Audits were carried out to assess and monitor the quality of the service people received and action was taken to address areas of improvement.