Background to this inspection
Updated
1 November 2016
We carried out this inspection visit 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 visit took place on 12 and 13 October 2016 and was announced. The provider was given seven days’ notice because the location provides a domiciliary care service and we wanted to make sure staff were available to speak with us. The inspection was carried out by one inspector.
We checked the information we held about the service and the provider. This included notifications that the provider had sent to us about incidents at the service and information we had received from the public. We also spoke with the local authority who provided us with current monitoring information. We used this information to formulate our inspection plan.
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 used a range of different methods to help us understand people’s experiences. We visited six people in their homes and made telephone calls to a further five people. We spoke with three relatives. We sent out questionnaires to people who used the service and used this information to make a judgement about the service.
We spoke with three care staff, three domiciliary service organisers and the registered manager. We looked at care records for three people to see if their records were accurate and up to date. We also looked at records relating to the management of the service including quality checks
Updated
1 November 2016
We inspected this service on 12 and 13 October 2016. This was an announced inspection and we telephoned the week prior to our inspection in order to arrange home visits and telephone interviews with people. The service provides care in people’s homes for up to six weeks. This service focuses on supporting people to regain their independence. The service is available in the Erewash area of Derbyshire. At the time of the inspection 30 people were being supported by the service.
This was the first inspection visit since the service registered with us in October 2014.
There was a registered manager in post. 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.
Staff knew how to raise any concerns to protect people from harm and people felt safe when they received support from the service. Risk assessments had been completed and provide guidance to reduce any risks and keep people safe. There was enough staff to enable people to receive a flexible approach to their care needs in promoting their independence. The service ensured there was a thorough recruitment check undertaken before staff commenced their employment. Medicine administration was provided when required to meet individual’s level of support.
Staff were trained to support people’s needs and had the opportunity to access specific training for their roles. Staff had received training in the mental capacity act and had an understanding of how to support people to make decisions. When required best interest decisions had been made with the relevant professional or relatives involvement. People were encouraged to maintain their independence with meal preparation, when the staff supported hem they ensured they had a choice available. People were supported to maintain their health and wellbeing with ongoing healthcare.
People had established caring relationships with the staff within the short support period offered by the service. The support people received meet their needs and encouraged them to maintain their independence. People told us they felt their privacy and dignity was respected.
People’s needs had been assessed and appropriate care plans were in place to support the person to regain their independence. People had an input into the care they received and this was flexible to meet their changing needs. The provider had a complaints procedure and we saw that any concerns had been responded to.
Management were approachable and had clear values that were understood by staff. People who used the service and their relatives had been enabled to routinely share their experiences of the service. Monitoring of areas of the service through a range of audits had been completed regularly and these were used effectively to reflect on the quality being provided or to support ongoing funding of the re-ablement ethos.