Background to this inspection
Updated
24 July 2021
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.
What we did before the 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. We reviewed information we had received about the service since they registered with us. We used all of this information to plan our inspection.
During the inspection-
We spoke with one person and one relative who used the service. We spoke with two staff members and the registered manager who was also the provider.
We reviewed a range of records. This included three people’s care records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
24 July 2021
About the service
Celestial Care Enfield and Herts is a domiciliary care service providing personal care for people living in their own homes. 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. At the time of the inspection there were three people who received the regulated activity of personal care.
People’s experience of using this service and what we found
Recruitment processes needed further development to ensure it was safe for staff to work with vulnerable people. Care plans also needed further development to ensure people’s needs were assessed and to ensure staff had guidance in how to meet their needs. People’s end of life care needs were not discussed and care plans not developed for this need.
The registered manager knew the service well and had plans to develop further. However, they acknowledged that they had to develop a robust governance and auditing system before they could expand. Whilst the registered manager asked for feedback about the service from people and relatives and carried out an audit, this was not done regularly or for each area of the service.
Staff received on-line training when they started working and then they shadowed the registered manager until they were confident working on their own. However, staff needed further training to ensure they were knowledgeable and skilled in supporting people in line with current legislation, standards and best practice guidance.
People and relatives, we spoke with, were happy with the service they received. People said they felt safe and could rely on staff and the registered manager for support.
People told us staff knew them well and were aware of the risks to their health and welfare. Risk assessments needed developing further to ensure there was enough guidance for staff to support people safely.
There were no incidents where staff missed a visit to support people. People said if for some reason there was a slight delay in staff arriving, they were alerted about this. People and relatives praised the registered manager for recognising people’s changing needs and involving the right professionals in their care.
People and relatives said, staff were kind and caring towards them and always showed respect and considered their dignity and privacy. People who required support to maintain a healthy balanced diet were happy with the support they received from staff to achieve this.
People and relatives told us they had no concerns about the service, and they felt they could contact the registered manager to raise any issues if needed and these would be resolved promptly.
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 11 October 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.