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
The inspection was carried out 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. The service employs four support workers.
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 needed to be sure the registered manager would be in the office to support the inspection. Inspection activity started on 5 February 2020 and ended on 7 February 2020. We visited the office location on 5 February 2020.
What we did before the inspection
We reviewed information we held about the service. 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. We used all of this information to plan our inspection.
During the inspection
We looked at three people’s care records, which included their support plans and risk assessments and one person’s medicines record. We reviewed a range of documents relating to how the service was managed, including training records, staff recruitment files, policies and audits.
We spoke with the registered manager during our visit to the service office. We spoke with two support workers on the ‘phone. We also spoke on the ‘phone with two people who used the service and four relatives to ask their opinion of the support provided.
Updated
21 February 2020
About the service
Cathedral House Care Services is a small domiciliary care service run by Huddersfield Christian Fellowship. It provides care and support to people in their own homes, who are from the church congregation, or are connected to the church community. At the time of our inspection the service was supporting eight people.
People’s experience of using this service and what we found
People who used the service and relatives were very complimentary about the care and support provided by Cathedral House Care Services. They told us they received support from a small team of familiar staff, who were friendly, kind and caring.
Staff had developed close relationships with people and knew them well. People were treated with dignity and respect and support was provided in a person-centred way. People were involved in making decisions about their support and involved in reviews to ensure their support plans met their needs and preferences.
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.
Staff understood safeguarding procedures and had received training in recognising the signs of and types of abuse. Safe recruitment practices were followed to ensure staff were suitable to support vulnerable people. Staff received an induction to the service, training and on-going supervision.
Medicines were managed safely.
There was an open and honest culture at the service and the registered manager showed committed leadership. Staff told us they all worked well together as a team. There was good oversight of the service, with effective systems in place to monitor the quality of support provided and to drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was the service’s first planned inspection. This service was registered with us on 6 February 2019.
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.