Background to this inspection
Updated
8 July 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.
The inspection took place on 03 June 2016 and was announced.
The inspection team consisted of one inspector.
Before our inspection we reviewed the information we held about the service, which included safeguarding alerts and statutory notifications which related to the service. Statutory notifications include information about important events which the provider is required to send us by law.
We focused on speaking with people who used the service, their relatives, speaking with staff and professionals.
We spoke with four people who used the service and four relatives. We also spoke with the registered manager, clinical director and four care staff members. We also spoke with two professionals who supported people using the service.
We looked at four people’s care records and medicine records, staffing rotas and records which related to how the service monitored staffing levels and the quality of the service. We also looked at information which related to the management of the service such as health and safety records, quality monitoring audits and records of complaints.
Updated
8 July 2016
The inspection took place on 03 June 2016 and was announced. We gave the provider 48 hours’ notice of the inspection in order to ensure people we needed to speak with were available. The service provides personal support to people by arrangement in their home in the local area.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
People were protected from the risk of abuse as staff had attended training to ensure they had a good understanding of their roles and responsibilities. Staff knew how to report matters to the appropriate authorities if they suspected abuse was happening. The manager knew how to share information with the local authority when needed.
People were supported by a sufficient number of suitably qualified staff. The manager had ensured appropriate recruitment checks were carried out on staff before they started work. Staff had been recruited safely and had the skills and knowledge to provide care and support in ways that people preferred.
The provider had systems in place so that staff were trained to administer medicines and people were supported to take their prescribed medicines safely.
The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Staff had received training in mental capacity assessments, best interest and were competent to work with relevant professionals. This ensured that decisions were taken in accordance with the Mental Capacity Act (MCA) 2005, DoLS and associated Codes of Practice. The Act, Safeguards and Codes of Practice are in place to protect the rights of adults by ensuring that if there is a need for restrictions on their freedom and liberty these are assessed and decided by appropriately trained professionals.
The staff responded to people’s needs in a compassionate and caring manner. Positive and supportive relationships had been built up between the staff, people using the service and relatives. People were supported to make day to day decisions and were treated with dignity and respect at all times. People were given choices in their daily routines and their privacy and dignity was respected. People were supported and enabled to be as independent as possible in all aspects of their lives.
Staff knew people well and were trained, skilled and competent in meeting people’s needs. Staff were supported and supervised in their roles. People and family members were involved in the planning and reviewing of their care and support.
People’s health needs were managed appropriately with input from relevant health care professionals. The service had worked with GP’s and Occupational Therapist to arrange appointments with these professionals and carry out support as instructed. People were supported to maintain a nutritionally balanced diet and sufficient fluid intake to maintain good health. Staff ensured that people’s health needs were effectively monitored.
The management was of a supportive culture and staff were supported to provide care that was centred on the individual. The manager and senior staff were approachable to people using the service and staff and enabled people who used the service to express their views.
People were supported to report any concerns or complaints and they felt they would be taken seriously. People who used the service or their representatives, were encouraged to be involved in decisions about the service. The provider had systems in place to check the quality of the service and take the views and concerns of people and their relatives into account to make improvements to the service.