Updated 6 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One Inspector, one assistant inspector, and one expert by experience carried out this inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own homes. The service provided care to people with a learning disability. The 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. 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. At the time of our inspection, a manager was registered with us.
Notice of inspection:
We gave the service 48 hours notice of the inspection site visit because we needed to arrange to speak to people using the service and ensure we could access the service’s office.
What we did:
We reviewed information we had received about the service since they were registered. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with 11 people and six relatives to ask about their experience of the care provided. We spoke with 14 members of care staff. This included; seven support workers, three team leaders, two managers, the regional manager and the registered manager.
We reviewed a range of records. This included eight people's care records and three people’s medicine records. We also looked at five staff files which included training and supervision records. We looked at records relating to complaints and records relating to the management of the service.