Background to this inspection
Updated
8 September 2015
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 provider is meeting 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.
This inspection took place on 20 July 2015 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service. We needed to be sure that someone would be available to assist us during our inspection. The inspection was undertaken by one inspector.
In planning our inspection, we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We considered any information shared with us by Local Authority Commissioners.
As part of our inspection we spoke on the telephone with six people that used the service, two relatives, four staff and the acting manager. During our visit to the service’s office we looked at records that included the care records of three people that received a service, the recruitment and personnel records of three staff, complaints records and quality assurance records.
Updated
8 September 2015
This inspection took place on 20 July 2015 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service. We needed to be sure that someone would be available to assist us during our inspection. The inspection was undertaken by one inspector.
At our last inspection of the service in May 2014 we found that there were missed and late calls that put people at risk of not receiving an adequate service and that could put people’s health at risk. Following that inspection we issued the registered provider with warning notices because they were failing to meet people’s needs safely and there were shortfalls in the monitoring of the quality of the service provided. We returned to check compliance with the warning notices in October 2014 and found that improvements had been made but a compliance action was made in respect of the monitoring of the service as further improvements were needed. At this inspection we found that the improvements had been sustained.
Kingsheath – Birmingham provides personal care to people in their own homes. At the time of our inspection there were 97 people who were receiving a service.
At the time of our inspection the registered manager had not been in post for over nine months and no application to register a new manager had been received. This is a breach of Regulation 5 of the Health and Social Care Act 2008. 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.
People were protected from abuse because staff were able to recognise the signs and symptoms of abuse and knew how to raise concerns. Staff had received training that enabled them to provide safe care and support.
There were sufficient numbers of trained staff that had received the appropriate recruitment checks to ensure that people received care and support from suitable staff.
People told us that they were happy with the care and support they received from staff that were knowledgeable about their needs and attended at the agreed times.
People told us that they were asked for their consent to the care and support they received and this involved an assessment of their needs. This showed that people’s consent to care and support was obtained and their rights were protected.
People were supported to eat and drink sufficient amounts to remain healthy and health care professionals were involved in their care if needed.
People told us they had developed caring and friendly relationships with their care workers. People’s privacy and dignity was maintained and their independence promoted by staff.
People were able to raise concerns and felt that any issues raised were appropriately addressed.
There were systems in place to gather the views of people on the quality of the service to ensure this was provided appropriately. Improvements continued to be made and some improvements were still needed in the quality of the records and monitoring systems.