Updated 2 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by two inspectors.
Service and service type:
Voyage (DCA) Marlborough House is a domiciliary care agency. It provides personal care to people living in their own flats. It provides a service to people with a learning disability, older people, people with physical disabilities, people that have sensory impairment and younger adults.
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.
Notice of inspection:
The inspection was unannounced.
What we did:
We used the information we held about the service, including notifications, to plan our inspection. A notification is information about events that by law the registered manager should tell us about, for example; safeguarding concerns, serious injuries, and deaths that have occurred at the service. We also used information the provider sent to us in the Provider Information Return (PIR) to formulate our inspection plan. A PIR is key information we require from providers on an annual basis giving us key information about the service.
Due to people’s complex needs, we were unable to speak with them about the service. We spoke with one relative of a person that uses the service, two care staff, a field support supervisor and the registered manager. We viewed two care files for people, including daily notes and medicines records. We looked at documents relating to the management and administration of the service such as audits, staff files and handover notes.