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Inspection Summary


Overall summary & rating

Good

Updated 27 September 2018

Say when the inspection took place and whether the inspection was announced or unannounced. Where relevant, describe any breaches of legal requirements at your last inspection, and if so whether improvements have been made to meet the relevant requirement(s).

Improvement action plan issued following the previous inspection

Where we asked the provider to complete an improvement action plan following the last inspection, include the text below, adapting where necessary:

'Following the last inspection, what they would do and by when to improve the key question(s) to at least good.' Then describe at a high level what you found, adding detail in the detailed findings section for the relevant key question(s).

Focused inspection

'We undertook an announced / unannounced focused inspection of on . This inspection was done to check that improvements to meet legal requirements planned by the provider after our inspection had been made. The team inspected the service against of the five questions we ask about services: is the service well led, , (more as needed)? This is because the service was not meeting some legal requirements.

No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection'

Comprehensive or focused inspection

Where breach topic has moved to a different key question in Next Phase

When we completed our previous inspection on DD/MM/YYYY we found concerns relating to . At this time this/these topic area(s) was/were included under the key question of . We reviewed and refined our assessment framework and published the new assessment framework in October 2017. Under the new framework this/these topic area(s) are included under the key question of . Therefore, for this inspection, we have inspected this key question and also the previous key question of to make sure all areas are inspected to validate the ratings.

Provide a brief overview of the service (e.g. Type of care provided, size, facilities, number of people using it, whether there is or should be a registered manager etc).

Service Types and descriptions

Care at Home services

Domiciliary care agency

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community [and specialist housing]. It provides a service to [older adults], [younger disabled adults], [children].

Provider of care to people living in specialist housing

Location proving care to people housed under supported living arrangements

This service provides care and support to people living in [a] [insert number of] 'supported living' setting[s], so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Location proving care to people living in extra care housing

This service provides care [and support] to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is [bought] [or] [rented], and is the occupant’s own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at peop

Inspection areas

Safe

Good

Updated 27 September 2018

The service was safe.

People were protected from harm because staff knew the risks to people and how to report concerns.

There were enough staff to meet people’s needs.

People received their medicines as prescribed and people were protected from the risk of infection.

Effective

Good

Updated 27 September 2018

The service was effective.

Staff delivered care and support in line with the Mental Capacity Act 2005.

People’s consent was gained before staff provided support and were supported by staff who had the skills and knowledge to meet their needs.

People received support with their meals and drinks and had access to health professionals when required.

Caring

Good

Updated 27 September 2018

The service was caring.

People were supported by kind and caring staff who knew them well.

People were supported to make choices about everyday life.

People’s privacy and dignity was respected by staff

Responsive

Good

Updated 27 September 2018

The service was responsive.

People had personalised care plans in place and were able to access the wider community.

The service responded and investigated any complaints so that relevant action could be taken.

Well-led

Good

Updated 27 September 2018

The service was well led.

The registered manager promoted a positive and professional culture.

Staff felt confident approaching the registered manager and felt supported in their roles.

The registered manager carried out thorough audits to ensure standards of practice were maintained.