The Care Quality Commission
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  • Homecare service

Archived: Scope Inclusion East Midlands

Overall: Good read more about inspection ratings

Concorde House, Nottingham Road, Nottingham, Nottinghamshire, NG7 7FF

Provided and run by:
Scope

Important: This service was previously registered at a different address - see old profile

All Inspections

7 February 2017

During a routine inspection

This inspection took place on 7 February 2017. Scope Inclusion East Midlands is a domiciliary care service which provides personal care and support to children and young adults in their own home. On the day of our inspection five people were using the service.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff received a detailed programme of training which was relevant to the needs of the people they cared for. People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Detailed care plans were in place which underpinned the care that was provided. People knew how to make a complaint and there was a clear complaints procedure in place.

There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.

Further information is in the detailed findings below.

9 December 2014

During a routine inspection

This inspection took place on 9 December 2014. Scope Inclusion East Midlands is a domiciliary care service which provides personal care and support to people in their own home. On the day of our inspection three people were using the service.

The service had a registered manager. 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.

At our last full inspection in December 2013 we found that the care provider was not meeting the legal requirements in respect of the management of medicines and supporting staff. The provider sent us an action plan and told us they would be compliant by March 2014. During this inspection we found that the care provider had made the required improvements.

People received their medicines as prescribed and they were safely stored. The relatives we spoke with told us they felt their loved ones were safe when receiving support from staff. Staff understood their responsibilities to protect people from the risk of abuse.

Risks to people’s health and safety were managed and people were supported by a sufficient number of staff.

Staff had the knowledge and skills to care for people effectively. People received the support they required to have enough to eat and drink.

The Care Quality Commission (CQC) monitors the use of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). We found this legislation was being used correctly to protect people who were not able to make their own decisions about the care they received. We also found staff were aware of the principles within the MCA and how this might affect the care they provided to people.

People were treated with kindness by staff and caring relationships had been developed. People and their family were able to be involved in the planning and reviewing of their care. Staff supported people to make day to day decisions. People were treated with dignity and respect by staff.

People were provided with care that was responsive to their changing needs, likes and dislikes. Staff helped people to take part in activities they enjoyed and helped to prevent social isolation. People felt able to make a complaint and told us they knew how to do so. Complaints received were responded to in a reasonable timescale and, where possible, resolved to the satisfaction of the person making the complaint.

People and staff gave their opinions on how the service was run and suggestions were implemented where possible. There were effective systems in place to monitor the quality of the service. These resulted in improvements to the service where required.

23 December 2013

During a routine inspection

We looked at two care plans. A care plan should describe a person's needs and give guidance to staff in how to meet those needs. We saw that the person using the service or their relative were given the opportunity to sign their care plan to confirm that they were providing consent to the care plan being in place.

We were unable to speak with any people who were using the service so we spoke with three relatives of people who were using the service and asked if they were satisfied with the level of care that was provided to their relative. One person said, 'Yes I have been very happy, the current group of staff are very good.' The other people we spoke with also told us they were happy that the care provided met their relative's needs.

Appropriate arrangements were not in place for the recording of medicines that were being administered to people using the service. There was a range of training available to staff, however not all staff had completed all of the training relevant to their role.

We spoke with three relatives of people who were using the service who told us they felt that the manager was approachable and they could contact them at any time. One relative said, 'The service is much better these days, I can contact them about anything and they try to accommodate it.' Surveys were available for people using the service and their relatives to provide feedback about the service they received. There was an effective complaints procedure available.

2 November 2012

During a routine inspection

We spoke with two people and asked if they felt staff were respectful and treated people with dignity. The people we spoke with told us they felt staff were respectful. One person said, 'Yes the staff are all nice and support me with what I need.' Another person said, "The staff are wonderful, they know exactly how to treat people."

We spoke with two people about the care and support that was provided. We were told, 'I get all of the care and support I need from staff, I am never left without anything.' We were also told, "The staff do everything that is needed and follow guidance to the letter, which is very important to me."

The staff we spoke with during our visit displayed a good understanding of safeguarding and how they could report any concerns they may have. Staff were also aware of how they could report any concerns externally should they need to do so.

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. The people we spoke with told us they felt they could approach staff or the manager at any time. People said they felt any queries were acted on and resolved quickly.