Background to this inspection
Updated
2 April 2016
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 registered person was 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.
Before our inspection visit to the service we reviewed notifications of incidents that the registered manager had sent us since the last inspection. We also spoke by telephone with five people who used the service and with 11 of their relatives. We did this to obtain their views about how well the service was meeting people’s needs. In addition, we spoke by telephone with five members of staff who provided care for people.
We visited the administrative office of the service on 11 March 2016 and the inspection team consisted of a single inspector. The inspection was announced. The registered manager was given a short period of notice because they are sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that they would be available to contribute to the inspection. During the inspection visit we spoke with the registered manager and office manager. We also spoke with a senior care worker who was responsible for organising staff and supervising their work. In addition, we examined records relating to how the service was run including visit times, staffing, training and health and safety.
Updated
2 April 2016
Anglian Care and Domestic Support Services provides care for people in their own homes. The service can provide care for adults of all ages and this includes people with a physical disability, special sensory needs and those who live with dementia. At the time of our inspection the service was providing care for 60 people most of whom were older people. The service has its office in Little Sutton, Long Sutton and covers March, Chatteriss and surrounding villages.
The service is run by a private limited company. The sole director of the company is also registered manager. In our report we refer to this person as being, ‘the registered manager’.
Staff knew how to recognise and report any concerns so that people were kept safe from abuse. People were helped to avoid having accidents and they were assisted to safely use medicines. There were enough staff to enable all of the planned visits to be completed on time and background checks had been completed before new staff had been appointed.
Staff knew how to care for people in the right way and they had received all of the training and support they needed. People had been supported to eat and drink enough and to access any healthcare services they needed.
The registered manager and staff were following the Mental Capacity Act 2005 (MCA). This law is intended to ensure that people are supported to make decisions for themselves. When this is not possible the Act requires that decisions are taken in people’s best interests.
Staff had been imaginative and had gone beyond their role to ensure that people received kind and compassionate care that met their needs and wishes. Staff recognised people’s right to privacy, promoted people’s dignity and respected confidential information.
People had received all of the care they needed including people who had special communication needs and were at risk of becoming distressed. People had been consulted about the care they wanted to receive and had been supported to pursue their interests and hobbies. There were arrangements in place to quickly and fairly resolve complaints.
Regular quality checks had been completed and people had been consulted about the development of the service. The service was run in an open and relaxed way, there was good team work and staff were supported to speak out if they had any concerns about poor practice. People had benefited from staff acting upon good practice guidance.