27 May and 2 June 2015
During a routine inspection
We undertook an announced inspection of Scope Inclusion West London Floor 3 Domiciliary Care Agency (DCA) on 27 May 2015 and 2 June 2015. We told the provider two days before our visit that we would be coming because the location provides a domiciliary care service for children and young people in their own homes and staff might be out visiting people.
Scope Inclusion West London Floor 3 provides care and support to children and young people with learning disabilities, medical conditions and mental health conditions who live in their own home.
At the time of our inspection 39 children and young people were receiving a personal care service. This care had been funded by the local authority.
We spoke with the parents and relatives of the children and young people receiving support to obtain feedback about the service provided. The young people using the service were unable to tell us their views directly.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
This was the first inspection since the service moved locations and re-registered on 19 August 2014.
Staff had not received training identified by the provider as mandatory to ensure they were providing appropriate and effective care for people using the service. New staff completed an induction, had regular supervision sessions with their manager and an annual appraisal.
A process was in place to record accident and incidents but the staff were not following the procedure by only recording challenging behaviour or incidents in the record of the support session. We have made a recommendation about the recording of incidents and accidents.
Relatives we spoke with told us they felt safe when their child received care from staff in their home. The provider had policies and procedures in place to respond to any concerns raised relating to the care provided.
Relatives said that regular carers treated their child as an individual and respected their privacy and dignity. Staff also understood the needs of their child.
At the time of our inspection the staff were not administering any medicines. However, there was a policy and procedure regarding medicines management in place and training was provided if a support worker was required to administer medicines.
We saw support plans identified the young person’s support needs and these plans were up to date. The support plans also identified the young person’s specific wishes in relation to how they wanted their care provided.
The provider had systems in place to monitor the quality of the care provided and these provided appropriate information to identify issues with the quality of the service
Staff felt the service was well-led and they received the appropriate support to enable them to carry out their role.
We found two breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 which related to staff training and the Mental Capacity Act 2005. You can see what action we told the provider to take at the back of the full version of this report.