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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2018

We undertook an announced inspection of PB Moinville Care on 6 December 2018.

This service is a domiciliary care agency. It provides a respite service to families who have children with complex needs in their own homes in Oxfordshire. On the day of our inspection the service was supporting seven children. This was the services first inspection.

There was a registered manager in post. 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.

Parents told us children benefitted from caring relationships with the staff. There were sufficient staff to meet children's needs. The service had safe, robust recruitment processes.

Parents were involved in creating children’s' support plans. Clinical support guidance and specialist training was provided by Oxford NHS Trust. Parents told us the service was reliable and we saw there were no missed visits recorded.

Children were safe. Staff understood their responsibilities in relation to safeguarding children. Staff had received regular training to make sure they stayed up to date with recognising and reporting safety concerns. The service had systems in place to notify the appropriate authorities where concerns were identified. Children had sufficient amounts to eat and drink and received support with meeting their nutritional and hydration needs where needed.

Where risks to children had been identified, risk assessments were in place and action had been taken to manage the risks. Children were assessed prior to staff supporting them and received care from staff who were knowledgeable about their needs and how best to support them. Most medicines were administered by their parents. However, where staff administered medicine children received their medicines safely as prescribed.

Parents told us they were confident they would be listened to and action would be taken if they raised a concern. We saw a complaints policy and procedure was in place. The service had systems to assess the quality of the service provided. Learning was identified and action taken to make improvements which improved children's' safety and quality of life. Systems were in place that ensured children were protected against the risks of unsafe or inappropriate care.

Staff spoke positively about the support they received from the registered manager. Staff meetings were scheduled as were annual appraisals. Staff told us the registered manager was approachable and there was a good level of communication within the service.

Inspection areas

Safe

Good

Updated 19 December 2018

The service was safe.

Parents told us they felt their children were safe. Staff knew how to identify and raise concerns.

There were sufficient staff available to meet children�s' needs.

Children received their medicines as prescribed. Staff were trained before administering any medicines.

Effective

Good

Updated 19 December 2018

The service was effective.

Staff had the training, skills and support to care for children. Staff spoke positively of the support they received.

Children received support with eating and drinking where needed.

The service worked with health professionals to ensure children�s' physical and mental health needs were maintained.

Caring

Good

Updated 19 December 2018

The service was caring.

Parents told us children benefitted from caring relationships with staff.

Children�s independence was promoted and they were encouraged to do things for themselves where they could.

Children were cared for by staff who were knowledgeable about their needs and what was important to them in their lives.

Responsive

Good

Updated 19 December 2018

The service was responsive.

Children were assessed and received person centred care.

Care plans were personalised and gave clear guidance for staff on how to support children.

A complaints policy was in place and available to families.

Well-led

Good

Updated 19 December 2018

The service was well-led

Families and staff told us the management team was open and approachable.

The provider had systems in place to monitor the quality and safety of the service and drive improvement.

There was a whistle blowing policy in place that was available to staff around the service. Staff knew how to raise concerns.