Cambridgeshire and Peterborough Domiciliary Care Agency provides personal care to people who live in their own homes. There were approximately 100 people using the service when we visited. The inspection took place on 15 October 2015 and 16 October 2015. We gave the provider 48-hours’ notice before we visited to ensure that the registered manager was available to facilitate the inspection. The last inspection was carried out on 6 November 2013 when we found the provider was meeting the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 we assessed against.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (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.
Staff were knowledgeable about reporting any abuse. There were a sufficient number of staff and recruitment procedures ensured that only suitable staff were employed. Risk assessments were in place and actions were taken to reduce identified risks.
Staff had received training on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). This legislation sets out how to proceed when people do not have capacity and what guidelines must be followed to ensure that peoples freedoms are not restricted. The provider had made a number of DoLS applications to the local authority and was awaiting their completion.
Staff were supported and trained to do their job and any additional training was provided for specific care needs to ensure they can be fully met. The staff were in contact with a range of health care professionals to ensure that care and support was well coordinated.
People’s privacy and dignity were respected and their support was provided in a caring and a patient way.
Care was provided based on people’s individual health and social care needs. There was a process in place so that people’s concerns and complaints were listened to and these were acted upon.
The provider had quality assurance processes and procedures in place to monitor the quality and safety of people’s care. People were able to make suggestions in relation to the support and care provided.