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Archived: Concept Care Solutions Northampton Good

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Inspection report

Date of Inspection: 28 May 2014
Date of Publication: 8 July 2014
Inspection Report published 08 July 2014 PDF | 76.5 KB

Overview

Inspection carried out on 28 May 2014

During a routine inspection

We inspected this small agency by visiting their Northampton office. We met with staff and looked at records; we visited two of the three people that received a domiciliary care service, and we spoke with a relative of the third person. This agency also provided nurses to other services we regulate and inspect but when we visited the agency we saw that nurses were not provided to people living in their own home.

The evidence we gathered about this agency’s domiciliary care services enabled us to answer our five questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive to people's needs? Is the service well-led?

Below is a summary of what we found. The detailed evidence supporting our summary can be read in our full report.

Is the service safe?

We found that people's needs had been appropriately assessed before they were provided with domiciliary care support. We saw documentary evidence of this in the three care files we looked at. This meant that staff had the information they needed about people’s care needs and were able to provide safe care.

There were sufficient numbers of experienced and competent staff available to meet people's personal care needs. We saw documentation that showed staff had been appropriately trained and received the managerial support they needed to do their job. The two staff we spoke with said they had received training in the protection of vulnerable adults and they knew how to report concerns about poor care or respond to allegations of abuse. This meant that people were protected from the risk of neglect or unsafe care.

Suitable arrangements were in place to respond to emergencies, with the manager always being available 'on call' to support staff to manage the situation safely and in a timely way.

Is the service effective?

We saw from the records we looked at that the staff had received the information, training and managerial support they needed to do their job effectively. There were arrangements in place that ensured staff had the most up-to-date information about people's care needs. The two staff we spoke with individually were able to tell us about people's individual needs and how they delivered their care. This meant that because staff had a good knowledge of each person's care needs and preferences they were able to provide effective care.

Is the service caring?

All the people we spoke with said the staff were friendly, helpful, and conscientious. People were provided with support in their own home at a level which encouraged independence and ensured their individual needs were met. On person said, “The carers are all very pleasant and helpful. They have a good manner about them which I appreciate.” Another person said that the care staff had always been “respectful” when doing their job.

Is the service responsive to people's needs?

We saw that there was enough staff available to meet the needs of the three people that received a domiciliary service. This was also confirmed by the two people we visited in their own home, and the relative of the third person we spoke with. People said the service was reliable and flexible.

The two staff we spoke with had a good understanding of how to support people in a way that respected each person as an individual, each with their own needs and preferences for how they wished to receive their care and support.

Is the service well-led?

There was a registered manager for this service although when we inspected we met with the newly appointed branch manager who was taking over this role. We were told that this person was submitting an application to register with the Care Quality Commission (CQC) as registered manager of the Northampton location when the current registered manager stood down.

The two staff we spoke with said they received a good level of practical day-to-day managerial support to enable them to carry out their care duties. They said they had sufficient time to travel between people’s homes so that they were not late arriving at their next scheduled call. The two staff we spoke with said that their manager had an 'open door' approach so that they were able to express any concerns or ask for guidance whenever they needed to.