Background to this inspection
Updated
5 July 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by two inspectors.
Service and service type:
This service provides personal care and support to adults living in their own homes.
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 visit because we needed to be sure people and staff would be available during our visit.
Inspection site visit activity started on 23 May 2019 and ended on 24 May 2019. We visited the office location on 23 May 2019 to see the manager and office staff; and to review care records and policies and procedures.
What we did:
Before inspection: We reviewed information we held about the service. This include notifications about the service. Notifications are information on important events that happen in the home that the provider must let us know about. 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.
During inspection: We spoke with the registered manager and two members of the management team. We reviewed care records of two people who used the service, staff records, incident and accident records and other records relating to the management of the service.
We visited one person in their home, where we met with them, one care staff and their friend. We had telephone conversations with one relative, one person that used the service and two care staff.
Updated
5 July 2019
About the service: HK Consulting Limited is a domiciliary care service that was providing personal care and support to adults living in their own homes. There were four people using the service at the time of the inspection.
People’s experience of using this service:
The support people received with their medicines was not consistently safe. This was because the people’s medicines records showed they did not always receive their medicines as prescribed by their doctor.
Quality assurance systems did not always identify relevant issues at the service, and the registered manager did not notify us of a relevant incident at the service.
Risk associated with people’s care were managed safely. Staff knew how to recognise and report any concerns they may have about people’s safety. They know how to safeguard people from abuse and avoidable harm.
Staff had the skills and training they required to fulfil their role. They supported people in accordance with relevant law and guidance. 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. Staff also supported people with their nutritional and health needs where this was required.
Staff were kind and compassionate. They involved people and their relatives in decisions concerning their care. They respected people’s wishes and preference. They promoted people’s right to dignity and privacy when delivering care.
The support people received was tailored to their individual needs. They had support to engage in their interests. People were confident to raise any concerns they may have about their care. The registered manager acted on their concerns to their satisfaction.
The registered manager maintained good oversight of the service.
Rating at last inspection: This was the first rating inspection of the service.
Why we inspected: scheduled first rating inspection.
Follow up: ongoing monitoring; we will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.