Updated 10 February 2023
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.
This inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care for people living in their own houses and flats. This includes older people, people with dementia, and younger adults.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. The service was given 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 4 January 2022 and ended on 20 January 2023. We visited the provider’s office on 6 January 2023.
What we did before the inspection
We reviewed all the information we had received about the service since the last inspection. We used all this information to plan our inspection. The provider completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers 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 the inspection
We spoke in person with the registered manager. We contacted 8 people using the service or their relatives, 10 staff and 3 healthcare professionals to get their experience and views about the care provided. We reviewed a range of records. This included 4 people’s care and medicine records. We looked at 4 staff files in relation to recruitment, training and staff supervision. We checked a variety of records relating to the management of the service, including audits, policies and procedures. We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included special initiatives unique to the provider, training matrix and audits. We received the information which was used as part of our inspection.