Updated 10 September 2019The 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.
The inspection was carried out by one inspector.
Service and service type:
Exclusive Care Services is an independent domiciliary care agency which provides personal care and support for people in their own homes. The agency provides personal care and support for 15 people who are living in the community.
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 was a comprehensive inspection, which took place on 02, 06 and 09 August 2019 and was announced. The provider was given 48 hours' notice of the inspection as we needed to be sure that the office was open, people and staff would be available to speak with us.
What we did:
We reviewed information we had received about the service since registration with Care Quality Commission on 31 August 2018. This included details about incidents the provider must notify us about, such as abuse or when a person dies. 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 contacted healthcare professionals for feedback. We received no feedback. We took this information into account when we inspected the service and made the judgements in this report.
During the inspection
During the inspection, we visited two people in their homes after we sought their consent, spoke with one relative, three care workers, the registered manager and the nominated individual.
We reviewed a range of records. This included three people's care records, risk assessments, daily records and health records. We also looked at three staff files including their recruitment, supervision and training records. We reviewed records relating to the management of the service, quality assurance records and a variety of policies and procedures implemented by the provider. We also looked at other records the provider kept, such as staff meetings minutes and surveys they completed to share their views.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received the training data sent to us in a timely manner.