Background to this inspection
Updated
17 April 2020
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 Care Act 2014.
Inspection team
A single inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
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.
What we did before the inspection
We reviewed information we received about the service since the last inspection. We sought feedback from professionals who work with the service. We used this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with six members of staff including the registered manager. We reviewed a range of records. This included four people’s care records and medicines records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
17 April 2020
About the service
Kerr-Care At Home Services Ltd - Right At Home (Wimbledon, Putney and Kingston) is a domiciliary care agency. It provides care and support for people living in their own homes. Not everyone using the service receives a regulated activity. CQC only inspects the service being received by people provided with personal care; that is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Twenty- two people were using the service at the time of the inspection.
People’s experience of using this service
People told us they felt safe. There were safeguarding vulnerable adults procedures in place to guide staff. The registered manager and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work and there were enough staff available to meet people’s care needs. People received support from staff to take their medicines safely [where this was part of their assessed needs]. The service had procedures in place to reduce the risk of infections.
Assessments of people’s care needs were carried out before they started using the service to ensure the service could support them. Risks to people had been assessed to ensure their needs were safely met. Staff had received training and support relevant to people’s needs. People received support to maintain good health and they were supported to maintain a balanced diet, [where this was part of their assessed needs]. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
People told us they were treated in a caring and respectful manner and they had been consulted about their care and support needs. People knew how to make a complaint if they were unhappy with the service. There were procedures in place to make sure people had access to end of life care and support if it was required.
There were effective systems in place to regularly assess and monitor the quality of service that people received. The registered manager took people and their relatives views into account through satisfaction surveys and feedback was used to improve the service. Staff said they received good support from their line manager and the registered manager. The registered manager and care staff worked with health care providers to plan and deliver an effective service.
Rating at last inspection
The last rating for this service was Good (published 08/08/2017).
Why we inspected: This was a planned inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.