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Archived: Carers Trust Lea Valley Crossroads Care Service Limited

Overall: Good read more about inspection ratings

Community House, 311 Fore Street, Edmonton, London, N9 0PZ (020) 8373 6210

Provided and run by:
Carers Trust Lea Valley Crossroads Care Service Limited

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Background to this inspection

Updated 20 December 2018

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 27 November 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure that the registered manager would be available to support the process.

The inspection was carried out by one adult social care inspector and one 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. The expert by experience supported this inspection by carrying out telephone calls to people and their relatives.

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to the CQC. We also used information the provider sent to us on the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we looked at six people’s care records and risk assessments, five staff files, three people’s medicines records and other documented information related to the management of the service. We spoke with the registered manager and five care staff. We also spoke with one person that used the service and eight relatives.

Overall inspection

Good

Updated 20 December 2018

This inspection took place on 27 November 2018 and was announced.

Carers Trust Lea Valley Crossroads Care Services Limited provides a respite and relief domiciliary care service to informal carers who have caring responsibilities for a child, young adult, their partners, their parents or other relatives in their own homes. The service aims to give a regular break to the carer and during this time provides care and support which includes the provision of the regulated activity of personal care where this is an identified need.

The service supports individuals of a varying age with wide ranging support needs which include learning disabilities, physical disabilities, mental health and people living with dementia. At the time of this inspection the service was supporting 22 people.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Relatives felt assured and confident with the service they received which allowed them to take regular breaks with the confidence that their relative would be cared for safely in their absence.

Risk assessments in place identified people’s individualised risks associated with their health and social care needs. Information and guidance available to care staff detailed how to minimise and reduce known risks to keep people safe.

The service followed appropriate medicine management and administration processes to ensure people received their medicines safely and as prescribed.

There were sufficient staff available to ensure people’s needs were appropriately met. The service only recruited care staff that had been appropriately assessed and relevant checks completed to confirm their suitability to work with vulnerable adults.

Processes in place enabled the service to record all accidents and incidents so that further analysis of these would promote further learning and prevent re-occurrences.

Care staff were regularly supported through training, supervision and annual appraisals.

People’s needs were assessed prior to a package of care being agreed so that the service could confirm that they were able to meet their needs effectively.

People were appropriately supported with their nutrition, hydration and health care needs where this was an assessed and identified need.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Relatives confirmed that their relatives were supported by a regular team of care staff. Caring and positive relationships had been established between people, their relatives and care staff that supported them.

Care plans were person centred and reflective of people’s health and support needs. Staff knew people well and relatives told us that they were all treated with dignity and respect.

Relatives knew who to speak with if they had any concerns or complaints and were confident these would be dealt with appropriately.

Management oversight processes in place ensured that the service continuously monitored the quality of care provision so that issues could be identified and addressed. Quality assurance also promoted further learning and development of the service. However, checks and audits were not always recorded.

Further information is in the detailed findings below.