Background to this inspection
Updated
21 August 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
This 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 houses and flats and specialist housing.
The service had a manager registered with the Care Quality Commission. The registered manager was also the nominated individual responsible for supervising the management of the service on behalf of the provider. This means that they were 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 registered manager would be in the office to support the inspection.
Inspection activity started 3 July and ended on 11 July 2019. We visited the office location on 3 July 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the registered manager, a care co-ordinator, care manager, and two care workers.
We reviewed a range of records. This included two people’s care records and associated medicines records. We looked at staff records for two staff as well as other records relating to the management of the service.
Updated
21 August 2019
About the service
Radfield Home Care - Harrogate, Weatherby & North Yorkshire is a care at home agency. It is registered to provide personal care to people living at home. They were providing personal and nursing care to 23 people at the time of the inspection.
People’s experience of using this service and what we found
The provider’s vision and values to provide high-quality care informed staff practice and fostered good outcomes for people. People responded to this extremely well and their feedback was positive.
The registered manager instilled a strong sense of trust amongst people who used the service, relatives and staff. People told us staff were reliable and provided them with safe, consistent care. They felt staff were well trained and said their care was “Brilliant” and “Amazing."
Staff knew people well and had developed meaningful relationships with them. Calls were timed to ensure staff could travel between visits without rushing. People were involved in the development and ongoing review of their care and felt able to influence the care they received. They told us the registered manager was extremely supportive and listened to them. People felt any concerns or issues they raised would always be appropriately responded to and resolved.
Suitable measures were in place to help minimise or reduce identified risks. 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.
Effective management systems were in place to safeguard people and promote their wellbeing. The registered manager ensured they were up to date with any changes in legislation and that these were implemented into everyday good practice. Robust staff recruitment, staff training, and quality monitoring systems and processes were in place. Feedback was regularly sought to drive continuous improvement.
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 July 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.