Background to this inspection
Updated
8 May 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 one inspector.
Service and service type:
Hagley House is a domiciliary care service.
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. The registered manager for Hagley House is also the provider.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection site visit because it is small service, and the manager is often out supporting people. We needed to be sure that they would be in.
We visited the service on 11 April 2019 to see the registered manager and to review care records and policies and procedures.
What we did:
When planning our inspection, we reviewed any information we had received about the service. We also contacted the local authority for feedback about the service. We used this information to help us decide what areas to focus on during the inspection.
During the inspection, we spoke with the registered manager and provider, the care manager, the senior care giver and five care givers. We also spoke with two people who used the service and four relatives. We looked at care records for five people to see how their care and support was planned and delivered. We also looked at medicine records, staff recruitment and training files, policies and procedures and the provider’s quality monitoring systems.
Updated
8 May 2019
About the service:
Hagley House is a domiciliary care service which is registered to provide personal care to people in their own homes. At the time of inspection, 18 people were receiving care and support services.
People’s experience of using this service:
¿ People told us they felt safe with the support of staff. Risks to people had been assessed and staff had a good understanding of these risks and how to minimise them.
¿ People were supported to receive their medication as prescribed and staff demonstrated a good knowledge of types and signs of abuse and how to report concerns of abuse.
¿ People were supported by staff who had the skills to meet their needs. People’s consent was sought before providing support. Staff demonstrated a good understanding of the Mental Capacity Act 2005 and what this means for people.
¿ People were happy with the support they received to enjoy a choice of meals and maintain a healthy diet. People had access to healthcare professionals when required.
¿ People told us staff were caring in their approach. People’s privacy and dignity was respected, and their independence was maintained and encouraged.
¿ Staff respected and supported people’s individuality and said they felt assured that no one was discriminated against.
¿ People told us they had developed good relationships with their regular staff who demonstrated detailed knowledge of people’s individual needs.
¿ People’s needs were assessed and reviewed on a regular basis. People’s care records were person centred and included their likes, dislikes and preferences.
¿ People and relatives felt confident raising concerns should they need to.
¿ Staff, people and relatives spoke positively about the registered manager and provider.
¿ The management team had systems in place to monitor the quality of the service that they provided.
Rating at last inspection:
This was the first inspection since the service registered in 01/05/2018.
Why we inspected:
This was a planned inspection which took place on 11 April 2019.
Follow up: 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.