Background to this inspection
Updated
16 November 2017
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 an updated rating for the service under the Care Act 2014.
The inspection was carried out by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.
The inspection visit took place on 16 October 2017 and was announced. We gave the provider 48 hours’ notice because the service is a domiciliary care agency and we wanted to make sure that staff would be available at the office to assist us with our inspection. We also wanted to give the provider time to seek agreement from people and their families that we could contact them and obtain their views and experience of the service.
Before the inspection we reviewed information we held about the service such as from statutory notifications. A statutory notification is information the service is legally required to send to us about significant events.
On the day of our visit and the following day, we spoke with 6 people and 5 relatives of people who used the service.
We spoke with the registered manager and 9 staff that included the rota and training coordinators, recruitment officer and care staff.
We read the care records for three people and reviewed medicines records. We checked staff recruitment files, rotas, induction, ‘spot checks,’ supervision and training records. We reviewed records relating to the management and monitoring of the service, such as policies and procedures, accident and incident records, quality assurance audits and checks, records of staff meetings and feedback from people using the service and their relatives.
Updated
16 November 2017
The inspection took place on 16 October 2017 and was announced. When the service was last inspected, and report published in July 2016, there was a breach of one of the legal requirements. The provider had not submitted notifications they are legally required to send to us. The overall rating for the service was good. At this inspection we found the provider had addressed this shortfall and we found no breaches of regulations at this inspection.
SR Homecare is based in Bristol and provides personal care and support to people living in their own homes. At the time of our inspection 47 people were receiving personal care.
A registered manager was in post. 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 2008 and associated Regulations about how the service is run.’
Where people were supported with medicines, we found they were managed safely. Risk assessments and risk management plans were detailed and fully completed.
Safe recruitment procedures were followed before new staff were appointed. Appropriate checks were undertaken to ensure staff were of good character and were suitable for their role. Staff were very positive about the induction, support, guidance, training and supervision they received.
People’s care records were personalised, with clear evidence of people’s involvement and that choices and preferences were taken into account.
Audits were in place to identify shortfalls and actions were completed to make any necessary improvements.
People were cared for in a kind and respectful way. People were supported to maintain their health and the service liaised with other external health professional when needed.
People who used the service, relatives, external health professionals and staff all spoke highly of the leadership and management of SR Homecare.
The registered manager showed how they responded positively to feedback and made service improvements. They worked in collaboration with other professional bodies and within the local communities to enhance and improve the quality of service for people living in their own homes.