Background to this inspection
Updated
28 February 2024
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 Health and Social Care Act 2008.
Inspection team
The inspection was conducted by 1 inspector and an 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.
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 is also registered to provide supported living services but was not providing support to anyone in supported living at the time of the inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 30 January 2024 and ended on 31 January 2024. We visited the location’s office/service on 30 January 2024.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us 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 3 people and 2 relatives about their experience of the care provided. We spoke with 6 staff members. We also spoke with the registered manager and the area manager. We reviewed a range of records, these included 4 people’s care records, medicines administration records, as well as governance and quality assurance records. We also looked at 3 staff recruitment files.
Updated
28 February 2024
About the service
Goldcrest Healthcare Service (Midlands) is a Domiciliary Care Service providing personal care to people living in their own homes. At the time of our inspection there were 63 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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
People received the support they needed to keep them safe and ensure their needs were met. Staff were safely recruited and were available to support at the times people needed them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s independence was promoted by staff who knew them well and encouraged them to achieve their goals and aspirations.
Right Care
People were supported by staff who had the skills and knowledge required to meet their needs. Staff understood people’s individual communication styles and worked alongside relatives and other professionals to ensure their knowledge of people’s needs remained current. People told us staff were respectful when providing care and promoted their independence.
Right Culture
There were systems in place to ensure effective governance and oversight of the care provided. Audits identified any areas where improvements were required. The registered manager was supportive of the staff team and shared learning with them to improve the quality of care. People, relatives, and staff had been asked for their feedback and this had been used to drive improvement across the service.
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 3 February 2021 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about safeguarding. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.