Background to this inspection
Updated
6 September 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 team consisted of one inspector and an assistant inspector.
Service and service type:
This service provides care and support to people living in their own homes and in supported living settings, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. The office for this service is in the Ecclesfield area of Sheffield.
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. This was because we wanted to visit people in their homes or telephone people’s families and we needed support from the registered manager to arrange this. We also needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 19 August 2019 and ended on 20 August 2019. We visited the office location on 20 August 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:
On the 19 August 2019 we visited three people in their homes to ask their opinions about the care they received and look at their care records. During these visits we also spoke with a relative and care worker. We also attempted contact over the telephone with ten people who used the service and successfully spoke with three people and four relatives.
On 20 August 2019 we visited the office location to see the registered manager and other staff and review care records, staff files and policies and procedures relating to the service. We spoke with the provider, registered manager, deputy manager, a care coordinator, and two deputy team leaders who visited the office to speak with us.
After the inspection:
We continued to seek clarification from the provider to validate evidence found. We looked at training records.
Updated
6 September 2019
About the service:
Abbeycare and Nursing is a service providing care and support to people through supported living and domiciliary care provision. The service is registered to provide personal and nursing care. Not everyone who used the service received personal care, nobody was receiving nursing care. The Care Quality Commission (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. At the time of the inspection the service was providing support to 52 people.
People’s experience of using this service and what we found:
People said they felt safe using the service. Staff understood how to keep people in their care safe from harm. Where risks to individuals had been identified measures had been put in place to reduce or eliminate those risks. Safe systems were in place to ensure people got their medicines at the right times. Staff had been recruited safely and there were enough staff to provide people with timely care and support.
Staff received appropriate training and support. Staff provided people with support to meet their nutrition, hydration and health care needs. People’s care needs were assessed before a service was offered, to make sure staff would be able to meet their needs. 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 received support from staff who were kind and caring. People were involved in making decisions about their care and were treated with dignity and respect. People were encouraged to be independent and their equality and diversity needs were respected.
People’s care needs were clearly identified in their care plans. Care plans were developed to make sure staff knew what they needed to do to meet those needs. A complaints procedure was in place and people said they would speak to the registered manager if they had any concerns.
People were supported by a team of staff who were happy in their jobs and well-supported by their manager. The registered manager completed a range of regular checks on the quality and safety of the service. People told us they would recommend the service to others.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was good (published 16 December 2016). Since this rating was awarded the registered provider of the service has moved premises. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
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 re-inspection programme. If we receive any concerning information we may inspect sooner.