12 January 2016
During a routine inspection
The agency registered as 2nd Floor Terraces corrected its registration with the Care Quality Commission (CQC) to CASA Warrington following our visit on 12 January. This was our first inspection of the agency.
The agency is part of the CASA group and new to the Warrington area. The agency provides care and support to people living in their own homes, a night sitting service and support for people to attend educational training and work.
The care director is the registered manager. 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.
All potential new staff attended classroom based induction for five days prior to the offer of employment with CASA.
Staff were knowledgeable about safeguarding and recognising the signs of potential abuse. We found that safeguarding concerns had been managed appropriately since the agency started operating.
There were arrangements in place to help protect people from abuse.
We found that carers completed medication administration training during induction and found records available to demonstrate that their competence had been assessed by senior staff once employed.
Individual risk assessments were completed for people who used the service, including assessment of any environmental risks, and staff were provided with information as to how to manage risks.
We found people were always involved in the planning and reviewing of the care provided.
Staff had received training regarding the expectations of the agency and its policies and procedures before starting work. New staff worked alongside more experienced staff until they gained sufficient experience.
Staff were enrolled to complete the Care Certificate. The Care Certificate is an identified set of standards that health and social care workers adhere to in their daily working life.
Care plans instructed staff of the individual’s needs and included information of what tasks they could do for themselves.
People using the agency were supported by individuals with whom they felt comfortable.
People’s needs were assessed prior to commencing a service to make sure the agency could meet their identified needs.
Care plans were detailed and provided information to help staff understand how people liked to be supported. Staff were knowledgeable about people’s health needs.
The agency had a complaints procedure and complaints were managed effectively.
The agency had a registered manager and a nominated person in charge of the day to day running of the business. Both people demonstrated a good knowledge of the business and the needs of the people using the agency.