Background to this inspection
Updated
29 November 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 was completed 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.
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 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. We also needed to gain consent to contact people using the service by telephone.
Inspection activity started on 12 November 2019 and ended on 13 November 2019. We visited the office location on 13 November 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 of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with eleven members of staff including the provider, registered manager, nominated individual, deputy manager, care workers and the care quality manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including accident and incident analysis, staff meeting minutes and compliments and complaints, were reviewed.
After the inspection
We spoke with three health and social care professionals who regularly visit the service.
Updated
29 November 2019
About the service
Avanti Homecare Ltd is a domiciliary care agency providing personal care to people in their own homes. There were 51 people being supported with personal care at the time of our inspection. Not everyone who used the service received personal 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.
People’s experience of using this service and what we found
People were cared for in a safe manner. Staff had a good understanding of safeguarding and were committed to protecting people. Risks to people’s health and wellbeing were appropriately assessed, managed and recorded. Staff were safely recruited and sufficient in number to support the geographical area. There was good infection control practice embedded in the service. Systems were in place to ensure lessons were learnt when things went wrong.
Staff acknowledged, and respected people’s needs and choices. People were involved in the planning and reviews of their care. Staff were effectively trained in topics relevant to their role. Staff regularly worked with other healthcare professionals to ensure people were supported to live healthier and independent lives.
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 were supported by staff who were caring and kind and they spoke highly of staff. People were supported by staff who they knew well and had supportive and meaningful relationships with. People’s independence was promoted and their privacy and dignity were respected by staff.
The provider was responsive. People had personalised care plans that promoted independence. Staff identified people’s information and communication needs by assessing them. People were supported to engage in hobbies and interests important to them. People and relatives knew how to make a complaint and felt confident they would be listened to. End of life care preferences had been sought and incorporated into care plans.
The service was well-led. The management team had created a culture of quality care where people were the centre. They understood their responsibilities within the service and were continually looking for ways to improve. People’s views were constantly sought to help drive improvement. The staff worked in partnership with health and social care professionals to ensure people receive a consistent approach.
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 10/12/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the provider’s registration date.
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.