Background to this inspection
Updated
16 September 2020
The inspection
This was a targeted inspection to check on specific concerns we had about how the service managed incidents, some aspects of infection prevention and control and safeguarding.
Inspection team
This inspection was carried out by three inspectors. Two inspectors made phone calls to people, relatives and staff and one inspector visited the office location.
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
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because the service is small and the registered manager is often out and we wanted to be sure there would be someone at the office available to help us.
Inspection activity started on 28 July 2020 and ended on 2 September 2020. We visited the office location on 20 August 2020.
What we did before the inspection
We reviewed information we had received about the service and we carried out a call using our emergency support framework. 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 spoke with five people who used the service and three relatives about their experience of the care provided. We also spoke with two members of staff, the registered manager and the 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 which included incident forms, complaints records, quality monitoring records and policies and procedures.
After the inspection
We contined to seek clarification from the provider to validate evidence found. We looked at updated information on medicines incidents, safeguarding concerns and an amended policy.
Updated
16 September 2020
About the service
GoodKnight Home Care is a small domiciliary care agency based in Chippenham. It provides care and support to people in their own homes and flats. At the time of the inspection there were 16 people 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
Not all incidents had been managed effectively. Some incidents had not been reported to the registered manager without delay which meant some actions had not been taken. Following our inspection the registered manager made sure the appropriate action was taken for all incidents.
Systems were not in place to make sure staff could complete incident records contemporaneously and for incidents to be managed in the absence of the registered manager. Following our inspection the registered manager has put into place systems to improve incident reporting and management. The registered manager reviewed incidents and took action to make sure risks were minimised.
Staff had access to personal protective equipment and had been trained on how to use it safely. Staff had been trained in infection prevention and control good practice and checked they were competent in areas such as handwashing.
Staff had been provided training on safeguarding and given information on how to report any concerns.
People and relatives we spoke with were happy with the service and the staff supporting them. People told us the service was reliable and staff were kind and caring.
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 04/11/2019 and this is the first inspection.
Why we inspected
We undertook this targeted inspection to check on specific concerns we had about how the service managed incidents, some aspects of infection prevention and control and safeguarding.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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.