Background to this inspection
Updated
18 November 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
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 care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced.
We gave a short period of notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection.
Inspection activity started on 09 August 2022 and ended on 27 September 2022. We visited the location’s office on 27 September 2022.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used this information to plan our inspection.
During the inspection
During the inspection we spoke with 12 people using the service and 8 relatives about their experience of the care provided. We spoke with the registered manager, field supervisor and 8 care workers. We reviewed a range of records. This included 6 people's care records including medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
18 November 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
About the service
Invicta Care and Training Ltd is a domiciliary care agency and provides personal care and support to people who require assistance in their own home. Not everyone using the service received personal care. CQC only inspects where people receive personal care, which is help with tasks relating to personal hygiene and eating. Where they do, we also consider any wider social care provided. The service supported 54 people at the time of the inspection.
People’s experience of using this service and what we found
Right Support:
We received some feedback about instances of staff lateness and timekeeping concerns. Staff were recruited safely. Staff were provided with an induction, training and support and had their competencies assessed to ensure they supported people in line with their identified care needs. Safeguarding policies and procedures were in place. People were protected from the risk of abuse. Staff had received training and understood how to keep people safe and who to report to if they had any concerns. People's care plans and risk assessments were reviewed in a timely manner. People received the support they needed to take their medicines safely. Staff followed the correct infection control practices.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care:
People and their relatives were positive about the care they received and said staff were kind and helpful. People told us they were involved in pre-admission assessments and their views were listened to. Staff understood how to respect and promote privacy and dignity. Choice of meals and drinks were offered to people which respected their likes and dislikes.
Right Culture:
The registered manager and staff were clear about providing person-centred care to people. They had a good knowledge of the service and understood the needs of people they supported. Staff supported people to lead inclusive and empowered lives. The registered manager worked with the local authority safeguarding and commissioning team to carry out their regulatory responsibilities. The provider increased the number of quality checks to monitor the service and identify any areas for improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 May 2021).
Why we inspected
The inspection was prompted in part due to information of concerns received including safeguarding, staffing and training. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the Safe, Effective and Well-led sections of this full report.
Recommendations
We have made a recommendation about monitoring staff deployment.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.