Background to this inspection
Updated
26 April 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:
The inspection was carried out by one inspector.
Service and service type:
Home Instead Senior Care is a domiciliary care agency. It provides personal care to people living in their own homes, including adults under 65 years of age. It supports people with learning disabilities, mental health conditions, physical disabilities, sensory impairments,
The service had a manager who was in the process of registering with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because we needed to be sure that the provider and manager would be available to support the inspection.
Inspection site visit activity started on 25 March and ended on 29 March 2019. We visited the office location on the 25 March 2019 and we sought feedback from staff, people who used the service and relatives on the other dates.
What we did:
We reviewed all the information we had about the service. We sought feedback from professionals who had experience of working with the service. The provider completed a Provider Information Return (PIR). This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used this information to plan our inspection.
During the inspection, we spoke with three people who used the service and received feedback from six relatives. We spoke with four members of care staff, the scheduler (care coordinator). We also spoke with the manager and the provider.
We reviewed a range of records. This included three people's care records and three staff files. We also reviewed training and supervision records and records relating to the overall quality and safety of the service.
Following the visit to the office, the provider sent us some additional information to review which helped form our judgements detailed within this report.
Updated
26 April 2019
About the service: Beda Home care Ltd trading as Instead Senior Care is a domiciliary care agency. Home Instead Senior Care is a domiciliary care agency. It provides personal care to people living in their own homes, including adults under 65 years of age.
At the time of the inspection, 23 people were receiving support with personal care.
People’s experience of using this service:
People's individual risks were assessed, and measures were put in place to reduce the risks to help maintain their safety. Staff knew how to report any concerns to help
People received care and support from a team of care staff who had been recruited using a robust recruitment process.
People’s medicines were managed safely. Staff had been trained and had their competencies checked.
People were protected from the risk or spread of infection. Staff used personal protective equipment when supporting people with personal care.
People received support to eat and drink sufficient amounts to maintain their health and wellbeing.
People were supported to access health professionals when required.
People were treated with dignity and respect and people found staff to be kind and caring.
People were supported to make decisions about their care needs and staff respected their wishes.
People’s confidential records were stored securely to help protect their privacy.
People received person-centred care and support that took account of their personal choices and preferences. Staff had a good understanding of people’s care and support needs.
People had access to information in a format they could understand.
Complaints were investigated in-line with the provider’s complaints procedure.
People were not receiving end of life care at the time of the inspection.
The provider had a range of systems and processes in place to continually monitor, assess and improve the quality of the care people received.
People were overall pleased with the support provided. Staff had a good understanding of people’s needs. They enjoyed working at the service and spoke positively about the support they received from the management team.
People’s views were sought, and people felt their views were important and valued.
Rating at last inspection:
At the last inspection the service was rated as Good. The report was published on 23 March 2016.
Why we inspected:
This was a planned inspection based on the ratings achieved at the last inspection.
Follow up:
We will continue to review information we receive about the service until the next scheduled inspection. If we receive any information of concern, we may inspect sooner than scheduled.