13 December 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 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 26 October 2016. The inspection was announced. The inspection team consisted of one inspector. The provider was given 48 hours’ notice because the location provides a personal care service and we needed to be sure that someone would be in.
We looked at the information we held about the service, which included ‘notifications’. Notifications are changes, events or incidents that the provider must tell us about.
We also reviewed the provider’s statement of purpose. A statement of purpose is a document which includes the services aims and objectives.
We contacted commissioners for health and social care, responsible for funding some of the people who used the service and asked them for their views about the agency. No concerns were expressed about the current provision of personal care to people using the service.
During the inspection we spoke with three people who use the service and three relatives. We also spoke with a director of the company, who was also the care coordinator, and two care workers. The registered manager was not available to carry out the inspection with us.
We looked in detail at the care and support provided to three people who used the service, including their care records, audits on the running of the service, staff training, staff recruitment records and medicine administration records.
13 December 2016
Kinder Home Care Services provides personal care and treatment for adults living in their own homes. On the day of the inspection the registered manager informed us that there were a total of 14 people receiving care from the service.
A registered manager was in place. 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.
On this inspection we found a breach of the Health and Social Care Act 2008 Regulated Activities Regulations 2014 with regarding to providing safe care. You can see what action we have told the provided to take on the back of the full version of this report.
Risk assessments were not consistently in place to protect people from risks to their health and welfare.
Staff recruitment checks were not always in place to protect people from receiving personal care from unsuitable staff.
People and relatives we spoke with told us they thought the service ensured that people received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff understood their responsibilities in this area.
We saw that medicines were, in the main, supplied safely and on time, to protect people’s health needs.
Staff had not received comprehensive training to ensure they had the skills and knowledge to be able to meet people's needs.
Staff, in the main, understood their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have effective choices about how they lived their lives.
People and relatives we spoke with told us that staff were friendly, kind, positive and caring.
People using the service or their relatives had been involved in making decisions about how and what personal care was needed to meet their needs.
Care plans were individual to the people using the service to ensure that their individual needs were met.
People and relatives told us they would tell staff or management if they had any concerns, they were confident these would be properly followed up.
People and their relatives were satisfied with how the service was run and staff felt they were supported in their work by the senior management of the service.
The service was not consistently well led as robust systems of quality assurance had not been in place to identify issues to achieve a quality service being provided
to people at all times.