Background to this inspection
Updated
4 July 2018
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 17 May 2018 and was announced. The inspection team consisted of two inspectors. The provider was given 48 hours’ notice because the location provided a domiciliary care service. The provider can often be out of the office supporting staff and we needed to ensure that someone would be in.
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. 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 also spoke with the local authority about information they held about the provider.
We spoke with five people who received care and support and one relative who was visiting their family member on the day of our inspection. We spoke with the registered manager, the senior personal assistant and two personal assistants during the inspection. We looked at the care records for three people to see how their care was planned. We also looked at one staff recruitment file, medication records, audit records, staff and customer meeting minutes and spot check records.
Updated
4 July 2018
The inspection was announced and took place on 17 May 2018. We gave the provider 48 hours’ of our intention to undertake the inspection. This was because the service provides domiciliary care to people in their own homes and we needed to make sure someone would be available at the office.
Kalyan Ashram provides personal care for people, living in a converted building where there are individual flats with shared facilities, such as a dining area and lounge areas. Staff provide personal care and support to people at pre-arranged times and in emergencies. There were eight people receiving personal care when we inspected. Since the last inspection of Kalyan Ashram the provider has changed and the service was under new ownership. As a result of this change this will be their first ratings inspection of this location.
A registered manager was in place. A 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.
People said they felt safe and enjoyed living at Kalyan Ashram.Staff understood how to protect people from abuse and were clear about the steps they would take if they suspected someone was unsafe.
People said that staff were available to them when needed and they were supported to take their medicines when they needed them.
Staff said training helped them do their job and gave them the right skills to meet the needs of the people they supported.
People told us that they were involved in the care and support that they received. Staff understood they could only care for and support people who consented to being cared for.
People told us that staff were quick to respond when they were unwell and they were supported to access health professionals when needed.
People told us that staff helped them prepare meals or supported them to the restaurant on site when needed. Staff ensured people were offered a choice of meals and drinks.
People we spoke with were positive about the care that they received. They told us staff were kind and caring and treated them with respect. Staff provided support that ensured people were treated with privacy and dignity. People were supported by staff to maintain their independence.
People and staff were confident of the actions they would take if they had concerns and that any concerns would be dealt with appropriately.
People told us that the staff and management were approachable and if they had any concerns they would be listened to.
The management team ensured regular checks were completed to monitor the quality of the care that people received and action had been taken where areas were identified for improvement.
The provider demonstrated clear leadership. Staff were supported to carry out their roles and responsibilities effectively, so that people received care and support in-line with their needs and wishes.
People were positive about the care and support they received and the service as a whole.