31 August 2017
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 12 July 2017 and was announced. The registered provider was given short notice of our inspection, because the location is a domiciliary care service and we needed to be sure that someone would be available. The inspection team consisted of an adult social care inspector and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Before our inspection, we reviewed the information we held about the service. This included correspondence we had received and notifications submitted by the service. A notification must be sent to the Care Quality Commission every time a significant incident has taken place, for example, where a person who uses the service experiences a serious injury. 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.
We gathered information from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information was reviewed and used to assist with our inspection.
During the inspection we spoke with the registered manager, the service co-ordinator and four care staff. We were not able to speak with some people using the service, because we were unable to communicate verbally with them in a meaningful way. We spoke with two people’s relatives by telephone to obtain their views about service. We looked at a variety of records including: three people’s support plans, four staff records and records relating to the management of the service.
31 August 2017
Spectrum Social Care is a domiciliary care service registered to provide personal care for people living in their own homes. At the time of the inspection the service was supporting three people. We were not able to speak with some people using the service, because we were unable to communicate verbally with them in a meaningful way.
There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 last inspection on 6 March 2015 the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated Good.
Relatives we spoke with felt their family member was safe.
All the relatives we spoke with made positive comments about the care their family member had received and about the staff working at the service. Relatives we spoke with told us they would recommend the service.
We saw there were sufficient staff to provide a regular team of care staff to people who used the service.
Staff had undertaken safeguarding training and were knowledgeable about their roles and responsibilities in keeping people safe from harm.
The service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.
There were recruitment procedures in place so people were cared for by suitably qualified staff who had been assessed as safe to work with people.
People’s care records showed that people had a written plan in place with details of their planned care. We saw they had been personalised to reflect their personal preferences.
People were supported with their health and dietary needs, where this was part of their plan of care.
The service promoted people’s wellbeing by providing support to people to attend daytime activities and to go out into the community, where this part of their plan of care.
Staff received induction and refresher training to maintain and update their skills. Staff received specialist training to meet the needs of people using the service. Staff were supported to deliver care and treatment safely and to an appropriate standard.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Relatives we spoke with were confident that if they raised any concerns or complaints, these would be taken seriously and appropriate action taken.
Relatives we spoke with made positive comments about the way the service was managed.
The registered provider actively sought the views of people and their representatives to continuously improve the service.
There were systems in place to monitor and improve the quality of the service provided.
Further information is in the detailed findings below.