Background to this inspection
Updated
8 February 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 January 2017 and was announced. The provider was given 24 hours’ notice because the location was a domiciliary care agency and we wanted to ensure there was someone available to assist us with the inspection. The inspection was carried out by one inspector.
Prior to our inspection we reviewed information we held about the service. This included a Provider Information Return (PIR) completed by the provider. 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 looked at previous inspection reports, information received and statutory notifications. A notification is information about important events and the provider is required to send us this by law. We contacted some other professionals who have contact with the service and commissioners who fund the care for some people and asked them for their views. We sent out survey forms to some people who use the service, their relatives, staff and healthcare professionals and we took their comments into consideration during the inspection.
During the inspection we spoke with two people who used the service and two relatives. We also spoke with five health care assistants, the healthcare coordinator and the registered manager.
We considered information contained in some of the records held at the service. This included the care records for three people, staff training records, three staff recruitment files and other records kept by the registered manager as part of their management and auditing of the service.
Updated
8 February 2017
This announced inspection was carried out on 12 January 2017. Newcross Healthcare Solutions Ltd (Woking) provides personal and ongoing healthcare to children and young adults with complex healthcare needs in Woking and surrounding areas. On the day of the inspection visit there were seven people using the service.
The service had a registered manager in place at the time of our inspection. 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.
People were supported by staff who understood the risks they could face and knew how to keep them safe. People were supported by a regular individual or group of staff who they knew. People who required support to take their medicines received assistance to do so when this was needed.
People were provided with the care and treatment they needed by staff who were trained and supported to do so effectively. Staff were only appointed once they had successfully completed the recruitment checks. People’s care and treatment was provided once consent had been obtained in line with the relevant legislation.
People were cared for by staff who understood their health conditions and ensured they had sufficient nourishment.
People were treated with respect by staff who demonstrated compassion and understanding. People’s privacy and dignity were respected and they were provided with their care and treatment in the way they requested or by those acting on their behalf. People were informed on how to express any issues or concerns they had so these could be investigated and acted upon.
People used a service which was flexible in accordance with their needs. The registered manager provided leadership that gained the respect of staff and motivated them as a team. There were systems in place to monitor the quality of the service and make improvements when needed.