Updated 14 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:
One inspector and one expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. In this instance for children and young people.
Service and service type:
KIDS Smile Centre is a domiciliary care agency. It provides personal care to children and young people using the service. Not everyone using KIDS Smile Centre receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
The service did not have a manager registered with the Care Quality Commission. A registered manager is legally responsible for how the service is run and for the quality and safety of the care provided. An acting manager was in post who told us they would be applying to become the registered manager.
Notice of inspection:
This inspection was announced. We gave the provider 24 hours’ notice of the inspection site visit to ensure that the registered manager would be present, and to ensure people’s consent was gained for us to contact them for their feedback.
Inspection site visit activity started on 29 April 2019 and ended on 30 April 2019. We visited the office location to see the manager and office staff; and to review care records and policies and procedures.
What we did:
Prior to the inspection we reviewed all the information we held about the service including notifications received by the Commission. A notification is information about important events which the service is required to tell us about by law. We reviewed the last provider information return. This is information we request to provide some key information about the service, what the service does well and improvements they plan to make.
During the inspection we spoke with one young person and seven parents. We spoke with the acting manager, a care coordinator and two members of staff.
We reviewed records related to the care of four people. We reviewed recruitment files for four staff. We looked at records relating to the management of the service, policies and procedures, quality assurance documentation and supervision documentation.
We asked for further information following the inspection including an updated statement of purpose and a copy of a support plan and risk assessment both of which were received.