Background to this inspection
Updated
18 May 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. Clarriots Care (Shropshire and Telford) Limited is a new service and this was their first inspection.
This inspection took place on 28 February 2017 and was announced. We gave the service 48 hours' notice of the inspection because it is a domiciliary care service and we needed to be sure that someone would be in.
The inspection team consisted of one inspector.
Before our inspection we reviewed information held about the service. We looked at our own system to see if we had received any concerns or compliments. We analysed information on statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send us by law. We contacted representatives from the local authority and Healthwatch for their views about the service. We used this information to help us plan our inspection of the service.
During the inspection we spoke with three people who used the service and three relatives. We spoke with five staff which included care staff, and the manager. We viewed two records which related to people's care and support needs, people's medicines and assessment of risk. We looked at the recruitment processes for three staff members. We also viewed other records which related to quality monitoring and the management of the service.
Updated
18 May 2017
This inspection took place on 28 February 2017 and was announced.
Clarriots Care (Shropshire and Telford) Limited is registered to provide personal care to people living in their own homes. The service provided personal care to eight people at the time of our inspection.
Clarriots Care did not have a registered manager in post. However, the manager had made their application with us to be registered which was being processed. ‘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.’
The provider had not taken steps to ensure that sufficient members of staff were employed to meet people's individual needs consistently and within reasonable time frames. The manager was working care shifts to cover sickness. Therefore they did not have time to undertake quality checks on the service provided. Observed practice checks were not regularly carried out to ensure people were receiving safe and effective care and support from staff members.
People felt safe when staff supported them in their own homes. They were supported by staff who had received training in and understood how to protect them from any harm and abuse. Systems were in place for staff to follow which protected people and kept them safe. Staff knew how to and were confident in reporting any concerns they may have about a person's safety.
Checks were completed on potential new staff before they started work to make sure they were suitable to support people living in their own homes. Staff had the skills and knowledge to understand and support people's individual needs. These skills were kept up to date through regular training.
Staff asked people's permission before they helped them with any care or support. People's right to make their own decisions about their own care and treatment was supported by staff. People were supported by staff who knew them well and were caring in their approach. Staff made sure people were involved in their own care and listened to what people and their relatives had to say.
People were treated with dignity and respect. They were encouraged to maintain their independence as much as they were able to. People were supported to identify how they wanted their care delivered. Staff provided care and support how people preferred it and in a way that was individual to them. People knew how to complain if they needed to.