Background to this inspection
Updated
22 July 2017
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 16 June 2017 and was announced. We made telephone calls to relatives on 19 June 2017. The provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in. The inspection team consisted of one inspector.
As part of the inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us by law. We contacted the local authority to understand if they had any relevant information to share with us.
Before the inspection the provider completed a Provider Information Return (PIR). This 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. The provider returned the PIR and we took this into account when we made judgements in this report. We also reviewed the questionnaire feedback that the CQC had sent to people who used the service prior to our inspection. We spoke also spoke with the local authority about information that may be relevant prior to our inspection of the service.
The two people who used the service were unable to speak with us over the telephone, so we spoke with their family members who supported them with the management of their care. We also spoke with two care staff and the registered manager. We looked at aspects of two people’s care records and medication records. We also looked at complaints and compliments, one staff recruitment record and checks of records completed by management.
Updated
22 July 2017
This inspection took place on 16 June 2017 and was announced. We gave the registered manager 48 hours’ notice of our intention to undertake an inspection. This was because Radfield Home Care provides personal care for people who live in their own homes and we needed to be sure that someone would be available at the office.
At the time of our inspection two people received personal care in their own homes.
There was a registered manager in place at the time of our inspection. 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.
Relatives told us their family members received safe care. Staff had good knowledge in how they were to protect people from harm. We found staff recognised the signs of abuse and knew how to report this. There were risk assessments in place and staff understood the importance of these and took actions to reduce the risk to people without taking away people’s right to make decisions about their care. Relatives told us the service ensured there were enough staff to support their family member when they needed them. Staff told us that the small service meant they were able to deliver safe care and support to people. People were supported with their medicines in a safe way.
People received care and support which met their needs and preferences which was in line with their consent and agreement and staff understood the importance of this. We found people were supported to eat a healthy diet which was tailored to their individual preferences. Staff were aware of external healthcare professionals input and how this affected the support the person received.
People’s views and decisions they had made about their care were listened to and staff acted upon these. Relatives felt the staff team treated their family members in a kind and friendly way, which was done so respectfully.
The registered manager had provided people with information around how to raise a complaint should they need to. Relatives we spoke with had not needed to raise any concerns but knew how to do this should they need to. The provider had not received any complaints at the time of our inspection. The registered manager told us that they had regular contact with people which they felt reduced the likelihood of people needing to complain about the service provision.
Staff felt supported by the registered manager to carry out their roles and responsibilities effectively, through training and daily contact. We found checks the registered manager completed on the service focused upon the experiences of people.