Background to this inspection
Updated
10 April 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 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 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 March 2020 and ended on 20 March 2020. We visited the office location on 12 March 2020.
What we did before the inspection
What we did before 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. 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 two people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, the field supervisor, care workers and nominated individual. 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 five people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including staff audits, medicines audits and quality assurance questionnaires.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at risk assessments medicines protocols and audits.
Updated
10 April 2020
About the service
Wentworth Community Care Ltd is a domiciliary care service providing personal care to adults in their own homes. The service was providing support to 31 people at the time of the inspection.
Not everyone who used the service received personal care. 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 safeguarded from the risk of abuse by trained staff. People had risks to their safety assessed and where needed had support to receive their medicines safely. People were supported by enough safely recruited staff. People were protected from the risk of cross infection. Where things went wrong there were systems in place to learn.
People had their needs assessed and plans put in place to meet them. Staff were trained and had the skills to support people effectively. People had the support they needed to maintain a healthy diet. People had consistent support from a staff team that worked with other professionals when required. People had their health needs understood and support from staff to maintain a healthy lifestyle.
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 that were caring in their approach and knew people well. People had choice about how their care needs were met and were supported to maintain their independence. People were treated with respect and their privacy and dignity was maintained by staff.
People received person centred care and support from staff that understood their individual needs and preferences. People had their communication needs assessed and plans were on place to meet them. Where complaints were received there was a clear policy in place to investigate and respond to these.
The registered manager had systems in place to monitor the quality of the service. They understood their responsibilities and could demonstrate how peoples feedback helped them to improve the service. There was a learning culture and the registered manager was responsive to feedback. The registered manager and staff demonstrated they worked in partnership with others to ensure people had the care they needed.
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 19/03/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.