Background to this inspection
Updated
18 September 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 the 21 and 22 August 2018 and was announced. The service was given 48 hours’ notice to ensure there would be someone present in the office. The inspection was carried out by one inspector.
Before the inspection, we reviewed previous reports and notifications that are held on the CQC database. Notifications are important events that the service has to let the CQC know about by law. In addition, we reviewed the 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.
During our inspection we spoke with seven people, one relative, the registered manager, deputy manager and three care staff. We reviewed five care files, three staff recruitment files and their training records, audits and policies held at the service.
Updated
18 September 2018
The inspection took place on the 21 and 22 August 2018 and was unannounced.
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. At the time of our inspection 34 people were receiving support. It provides a service predominately for people with Learning disabilities or autistic spectrum disorder, however they are registered to support people who may have mental health issues, older adults, sensory impairment and dementia. 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.
This was the first inspection at the service since they were taken over by this provider.
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.
The service was safe. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.
The service was effective. People were cared for and supported by staff who had received training to support people to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to other health professionals were made when required.
The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.
The service was responsive. People were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The registered manager responded to complaints received in a timely manner. People were provided with the appropriate care and support at the end of their life.
The service was well-led. The registered manager had suitable systems in place to assess and monitor the quality of the service provided.