Updated 22 February 2023
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 carried out by one inspector and an Expert by Experience who telephoned people who used the service, and their relatives, to seek feedback. 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.
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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since its registration. We sought feedback from the local authority. 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 information gathered as part of our monitoring activity that took place on 9 November 2022 to help plan the inspection and inform our judgements.
We used all this information to plan our inspection.
During the inspection
The inspection commenced on 23 January 2023 with feedback being provided to the registered manager on 6 February 2023. We visited the office of the service, spoke with 2 people who used the service and 5 relatives. We spoke with the nominated individual [NI], the registered manager and received feedback from 7 staff. The nominated individual is responsible for supervising the management of the service.
We used electronic file sharing to enable us to review documentation. We reviewed 4 care records, staff recruitment files for 3 staff members, training, induction and competency assessment records for staff. We also reviewed governance records including policies and procedures, and quality assurance records,