Background to this inspection
Updated
27 October 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.
The inspection took place on 25 September 2018 and was announced. We told the provider two days before our visit that we would be coming. We did this because the registered manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that they would be in.
One inspector undertook the inspection. Before our inspection we reviewed the information we held about the service which included statutory notifications we had received in the last 12 months and the Provider Information Return (PIR) the registered manager had sent us. The PIR is a form we ask the provider to complete prior to our visit which gives us some key information about the service, including what the service does well, what they could do better and improvements they plan to make.
During our inspection we spoke with the registered manager. We looked at three people’s care records, four staff files as well as a range of other records about people's care, staff and how the service was managed.
After our inspection we spoke with two members of staff and three people’s relatives. The registered manager also sent us additional information such as training records, service user and staff handbooks.
Updated
27 October 2018
Unit 14b – Day Lewis House also known as Hillside Care Services, provides personal care services to people in their own homes. At the time of our inspection three people were receiving care from this service.
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.
People’s relatives told us their family members trusted staff and felt safe when staff supported them. There were systems in place to help make sure people were protected from the risk of abuse and staff were aware of safeguarding procedures and understood how to safeguard the people they supported.
Staff helped make sure people were safe and knew the risks people faced each day. They took steps to reduce those risks while still encouraging people's independence. Staff followed safe practices when assisting people with their medicine.
There was a 24-hour call system in operation, this made sure support and advice was always available for people and staff.
People were cared for by staff who received appropriate training and support to do their job well. Staff felt supported by managers through regular supervision and appraisals.
People and their relatives were involved in making decisions about their care, treatment and support and the care plans reflected this. 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 told us their family members liked staff and thought they were caring. Staff respected people’s privacy and dignity. When required, staff supported people with their activities and interests, both in their own home and in the community.
People were asked about their food and drink choices and staff assisted them with their meals when required.
People's healthcare needs were met through the involvement of external professionals when required.
People’s relatives said they would complain if they needed to and knew who to complain to.
People were contacted regularly to make sure they were happy with the service and spot checks helped review the quality of the care provided.
Further information is in the detailed findings below.