Updated 29 May 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.
This inspection was carried out at the provider's address as opposed to the location address due to them moving. Following the inspection the provider and registered manager made applications to update their details with CQC. The address listed on this inspection report is the location's previous address.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
CHADD is a service which provides domiciliary care services. This is provided in the context of sheltered flat tenancies situated in a single building facility. The facility offers aspects of communal living.
The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.
The service had a manager registered 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:
The provider had five days notice an inspection would take place so we could ensure people gave consent to speaking with us and staff would be available to provide the information which we needed.
What we did:
Before the inspection we checked the information we held about the service and the provider. This included notifications the provider had sent to us about incidents at the service and information we had received from the public. A notification is information about events that by law the registered persons should tell us about.
Prior to the inspection we spoke to the registered manager as they were not available during the inspection. During the inspection we spoke with two people who used the service, two support workers, two team leaders, one operations support manager, one HR administrator and the chief executive officer. We observed how staff interacted with people who used the service. We also spoke with a community psychiatric nurse, a social worker and two pharmacists. We did this to gain people's views about the care and to check that standards of care were being met.
We looked at care records for four people. We checked the care they received matched the information in their records. We also looked at records relating to the management of the service, including audits carried out within the home and medicine records.
Following the inspection the management team sent us information around improvements they had made to the service's quality assurance processes. We have included this information in our report.