Background to this inspection
Updated
2 November 2019
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 and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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
This inspection was announced.
We gave the service 48 hours notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 30 September and ended on this date.
What we did before the inspection
We reviewed information we had received about the service since registration. This included details about incidents the provider must notify us about, such as abuse. We checked for feedback from local authorities and commissioning bodies.
During the inspection
We spoke with four people who used the service and one relative about their experience of the care provided. We spoke with three members of staff and the registered manager.
We reviewed a range of records. This included three people's care records, three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
2 November 2019
About the service
Wisdom Healthcare Ltd is a domiciliary care agency providing care and support to people living in their own homes. At the time of our inspection there were 22 people receiving a service and all received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People's experience of using this service and what we found
People were supported by sufficient numbers of staff who had been employed through the provider’s safe recruitment processes.
Staff received training on safeguarding and knew how to identify and report any concerns.
Risks had been assessed and management plans put in place. Staff administered people’s medicines as prescribed.
People's needs were assessed prior to their service starting. The registered manager assessed needs in a range of areas including support needed for eating and drinking. Staff worked with healthcare professionals to make sure health needs were supported.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People and relatives thought staff were kind and caring. People's privacy and dignity were promoted and maintained by staff who recognised the importance of treating people respectfully.
People were involved in their care and were encouraged to share their views and preferences. People had personalised care plans which were regularly reviewed by staff.
People had the opportunity to record end of life wishes and the staff worked with professionals to provide appropriate end of life care.
People, relatives and staff all felt able to approach the registered manager and were positive about their leadership style. Quality monitoring was in place and feedback was sought and used to make improvements to the service.
There was a complaints policy in place which people and relatives were aware of.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 20 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.