Archived: Second 2 None Healthcare - Scarborough

Updated 14 December 2015

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.

This inspection took place on 3 November 2015. The provider was given notice because the location provides a domiciliary care service and we needed to speak with the registered manager and care workers at a time when they were not out supporting people who used the service. One adult social care inspector carried out the inspection.

Before the inspection visit we reviewed the information we held about the service. We did not request a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed notifications we had received from the service since the last inspection.

During our visit to the service we reviewed care plans for four people and recruitment, supervision and training files for four care workers. We looked at the training matrix, questionnaires and other records related to the management of the service. We spoke with the registered manager, the training and development manager, two office managers, a deputy manager and two care workers. During the inspection visit we spoke with one person who received the service and one relative of a person who received the service. After the inspection we spoke with another person who used the service, and a relative of a person who used the service. We also spoke with two health and social care professionals.

Updated 14 December 2015

This inspection took place on 3 November 2015. We gave the provider notice before our visit that we would be coming. This is the first inspection of this newly registered service.

Staff knew people well; however, the registered provider had not ensured that staff were sufficiently trained to meet people’s care needs. This was a breach Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Second 2 None Healthcare-Scarborough, provides personal care for people who live in their own homes, in Scarborough and the surrounding area. The service had a 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 and associated Regulations about how the service is run.

People told us they felt safe with the staff. Risks were managed well and gave people freedom, yet protected them from harm. Staff were trained in safeguarding and understood how to recognise and report any abuse. Staffing levels were sufficient and flexible to support people with their care and enable them to pursue interests of their choice in the community. People were supported with their medicines safely.

Staff were supported and supervised in their roles.

Staff had some awareness of the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards as relevant to services which provide care to people in the community. People were supported to make decisions and choices around their care.

Where the service had responsibility for this, people were supported to have a balanced and appropriate diet. People were involved in planning and shopping for meals.

People’s medical and psychological needs were assessed. The service had a positive approach to maintaining good health and wellbeing and the service referred to health care services as appropriate.

Staff had developed positive, respectful relationships with people and were kind and caring in their approach. People’s privacy and dignity were respected and they were supported to be as independent as possible in their lives.

People told us they were happy with the care and support they received. Care professionals told us that staff promoted people’s involvement in their care and that they had respect for how well staff promotes people’s wellbeing.

People were involved in the planning and review of their care and support and they were supported to express their views. Care was centred around people’s needs and the service was flexible and responsive to individual choices. People were supported to pursue activities of their choice out in the community.

Systems were in place to assess and monitor the quality of the service. People and staff were involved in developing the service. Although there had been some unsettling changes to the management team, the registered manager was supportive and visible among the staff team and to people who used the service. Plans were in place to improve the service where shortfalls had been identified. Care plans records did not provide consistently clear guidance for staff to meet people’s care needs. The registered manager was aware of this and had begun to make improvements. We have made a recommendation about this.