Background to this inspection
Updated
25 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 4 and 5 August 2016 and was announced. The provider was given 24 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. It was undertaken by one inspector.
Before our inspection we looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. We also asked for feedback from the commissioners of people’s care and the local authority safeguarding team.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
Eleven people using the service, two relatives, six members of staff and one community professional responded to the CQC questionnaires sent prior to the inspection.
During our inspection we spoke with two people who used the service, two relatives and one community professional on the telephone. We spoke with the registered manager, the nominated individual, one senior staff member and three members of staff.
As part of this inspection we looked at records in relation to keeping people safe from harm and medication administration records. We also checked the care plans and risk assessments for four people. We checked the files of three staff. We looked at records in relation to the management of the service including audits, complaints and meeting minutes.
Updated
25 August 2016
CorderCare Office is registered to provide personal care to people who live in their own homes. At the time of this inspection a service was provided by 10 care staff to 24 people living in Wisbech and the surrounding areas.
This announced inspection took place on 4 and 5 August 2016.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The provider’s policy on administration and recording of medicines had been followed, which meant that people received their prescribed medicines. Audits had identified issues with medicines’ management and action had been taken.
People had their needs assessed and reviewed so that staff knew how to support them to maintain their independence. People’s care plans and risk assessments contained person- focussed information, and information was up to date and correct.
There was a sufficient number of staff available to ensure people’s needs were met safely. The risk of harm for people was reduced because staff knew how to recognise and report abuse. Staff were aware of the procedures for reporting concerns, systems were followed and concerns were investigated.
Staff were only employed after the provider had carried out comprehensive and satisfactory pre-employment checks. Staff were well supported by the registered manager and senior staff through supervisions and staff meetings.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. We found that staff were trained in the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions.
People received care and support from staff who were kind, caring and respectful to them. Staff treated people with dignity and respected their privacy.
People knew how to make a complaint. The provider investigated any complaints and as a result made changes to improve the service.
The service had an effective quality assurance system in place. People and relatives were encouraged to provide feedback on the service and their views were listened to and acted on.