Background to this inspection
Updated
21 February 2020
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 conducted by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes. This is help with tasks related to personal hygiene and eating.
The service had a manager who was applying to become registered with the Care Quality Commission at the time of the inspection. 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 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 10 February 2020 and finished on 13 February 2020. We visited the office location on 10 February 2020.
What we did before the inspection
We reviewed information we had received about the service since it had registered with us. We used this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to 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 with five staff, the registered manager, the business manager, care co-ordinator and two care workers.
We reviewed a range of records. This included two care records, two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints, incident forms, policies and procedures were reviewed.
After the inspection
We spoke with one person who used the service and two relatives about their experience of the care provided. We requested additional evidence to be sent to us after our inspection. This including the service user handbooks and other record templates.
Updated
21 February 2020
About the service
Best At Home Domiciliary Care Services Wimbledon is a domiciliary care service providing care and support to people in their own homes. At the time of the inspection there were four people receiving personal care support.
People’s experience of using this service and what we found
The service was safe. People were kept safe from harm and were supported by care workers who had been recruited through robust recruitment checks. Risk assessments included ways in which identified risks could be reduced in order to keep people as safe as possible. There were no safeguarding concerns with the provider and staff received appropriate training in how to identify an report any potential forms of abuse. Staff followed appropriate infection control procedures.
Care workers received a through induction and mandatory training when they first started their employment. People received appropriate support in relation to their nutrition and their healthcare 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 good care that was respectful and dignified. Everyone we spoke with was happy with the friendly nature of the care workers. People were supported to maintain their independence and were in control of directing their care according to their needs.
Individual care plans which were reviewed on a regular basis were in place. Care workers delivered care according to written care records. There were no formal complaints that had been received. People were given details about how to complain and were asked if they were happy with the service during reviews.
People and their relatives were happy with the way the service was managed. The provider carried out regular checks which helped to ensure people were receiving good, quality care.
Rating at last inspection
This service was registered with us on 29 January 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk