Background to this inspection
Updated
1 May 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes. This service also provides care and support to people living in a supported living setting, so that they can live 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
Before the inspection, we reviewed information we held about the service. This included information received from the provider as required by law to report certain types of incident and events. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two people using the service to gather their views about the care and support provided. We spoke with five members of staff including the registered manager, a deputy manager and three care workers.
We reviewed a range of records. This included care and risk management plans and medicines records for four people. We looked at four staff files in relation to recruitment and staff supervision. We also looked at various records used in the management of the service including policies and procedures, minutes of staff meetings and audits.
Updated
1 May 2020
Inspire Support Workers provides personal care support to people living in their own homes. The service supports people living with mental health and learning disability. At the time of this inspection four people were using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service
People were complimentary about the service and told us it was well led. People received care and support which was safe and personalised to their needs. Staff understood their responsibility to protect people from abuse and to report any concerns to ensure people remained safe. Risks to people had been assessed, identified and had appropriate risk management plans in place to minimise the risk of harm. People were supported to take their medicines safely and there were enough staff available to support people. Staff followed appropriate infection control procedures to minimise the spread of infections.
Before people started using the service, their needs were assessed to ensure they could be met. People received care and support from staff who had been supported through induction, training and supervision. People were supported to maintain good health; eat healthily and access healthcare services when required. 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.
People were supported by staff who were kind and caring, respected their privacy and dignity and promoted their independence. Staff understood people's diverse needs and supported them in a caring way. People were involved in making decisions about their care and support needs. People's communication needs had been assessed and met. People were supported to participate in activities of interest and knew how to complain if they were unhappy.
The service had effective systems in place to assess and monitor the quality and safety of the service. The service worked in partnership with key organisations to plan and deliver an effective service. People and their relatives' views were sought to improve on the quality of care and support provided.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This service was registered with us on 6 November 2017 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.