Updated 19 June 2019
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. 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.
Inspection team:
The inspection was completed by one inspector.
Service and service type:
Creative Support is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission who was on leave during the inspection. The service had an acting manager in post. This means that they and the provider would be legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit to ensure the management team would be available to give us all the information we required.
Inspection site visit activity started and ended on 21 May 2019. We visited the office location on 21 May 2019 to see the manager, staff and people who used the service; and to review care records and policies and procedures.
What we did:
Before the inspection we checked the information we held about the service and the provider. This included notifications the provider had sent to us about incidents at the service and information we had received from the public. A notification is information about events that by law the registered persons should tell us about.
During the inspection we spoke with four people who used the service, two support workers, two senior support workers, one service manager, one acting project manager and the service director. We observed how staff interacted with people who used the service.
Following the inspection we spoke with three people’s relatives and two professionals who support people using the service. We did this to gain people's views about the care and to check that standards of care were being met.
We looked at care records for four people. We checked the care they received matched the information in their records. We also looked at records relating to the management of the service, including audits carried out by the provider and medicine records.
Following the inspection the management team sent us information about improvements they had made to the 'as required' medications protocols. We have included this information in our report.