Background to this inspection
Updated
23 July 2022
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
The service is a domiciliary care agency providing the service within an extra care setting. It provides personal care to people living in their own homes.
Registered manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of the inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave 48 hours’ notice to the registered manager; this was because we needed to be sure they would be available. Inspection activity started on 25 May 2022 and ended on 16 June 2022. We visited the provider's office on the 16 June 2022
What we did before the inspection
We reviewed the information we had received about the service since their registration. The provider was not asked to complete 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 sought feedback from the local authority and used this information to plan our inspection.
During the inspection
We visited the registered provider’s office and reviewed records including four staff recruitment files. We reviewed the files of four people who use the service in relation to medication management. We looked at people’s risk assessment and care records. We looked at the provider's monitoring systems and training records for staff. We spoke with the registered manager, operations manager and eight care staff. We also spoke with five people using the service and five people's relatives.
Updated
23 July 2022
About the service:
Advance Healthcare (Broad Meadow) is domiciliary care service providing care and support to people in their own homes within an extra care housing scheme for people aged 50 years and over. At the time of the inspection 51 people were using the service.
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 received the level of support they needed with their medicines from trained staff. Risks to people had been assessed and plans put in place to manage these. Accidents and incidents involving people were monitored and learned from. Staff understood how to identify and report any abuse concerns. Prospective staff underwent checks to ensure they were safe to work with people.
People’s needs and choices were assessed with them. Staff worked with other agencies, teams and professionals to ensure people’s needs were met. Staff received training and support to help them provide safe and effective care. People had support to prepare meals where they needed this. Staff respected people’s right to make their own decisions.
Staff treated people with respect and kindness and the provider sought people’s views on the care provided.
People received care and support that reflected their individual needs and knew how to complain about the service if needed.
The provider monitored the safety and quality of people’s care. They sought feedback from people, their relatives and staff on how the service could be improved.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 15 August 2019 and this is the first inspection of this service.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.