Background to this inspection
Updated
27 April 2016
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 look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 23 March 2015 and was announced. The inspection team consisted of one adult social care inspector.
We used a number of different methods to help us understand the experiences of people who used the service. We spoke with eleven people who used the service by visiting them in their homes. We spoke with the registered manager, two team leaders and six care workers.
We looked at five people’s care records and other records which related to the management of the service such as training records and policies and procedures.
Prior to the inspection we sent questionnaires to 26 people who used the service asking them about the quality of the service. We received four replies. We also sent questionnaires to eight health professionals who work with the service and received one reply. We reviewed these responses in order to form a judgement about the quality of the service.
As part of our inspection planning we reviewed the information we held about the home. This included information from the provider and notifications. We also spoke with a visiting health professional who regularly liaised with the service.
Updated
27 April 2016
The inspection took place on 23 March 2015 and was announced. This meant we gave the provider a short amount of notice of our inspection to ensure a manager would be present on the inspection date.
We last inspected the service in February 2014 and the service was compliant with the regulations that we looked at.
Park Road Home Care Team 2 is a domiciliary care service. Personal care is provided to people living in flats at Mythom Meadows in Hebden Bridge and Clement Court in Halifax. Staff are based on these sites between 07.30 and 21.30 to provide a contracted homecare service and respond to any requests for additional care and support.
A registered manager was in place. ‘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.’ The registered manager was supported by a team leader at each of the two locations where the service provided care.
All the people we spoke with told us the service provided a high quality service. They all said care was delivered by staff who treated them with a high level of dignity and respect.
People told us they felt safe using the service and staff understood how to identify and act on any concerns.
Risks to people’s health and safety were well managed by the service. Where incidents had occurred measures had been put in place to reduce the likelihood of a reoccurrence and keep people safe.
There were enough staff deployed to ensure people received a consistent and reliable service. People reported and records confirmed that people received care and support at regular times each day.
Safe recruitment procedures were in place to ensure new staff were of suitable character to care for vulnerable people.
Medicines were managed safely. People told us they received their medicines as prescribed and this was confirmed by documentation we reviewed. The service had recently introduced new paperwork to ensure that a complete record of people’s medicines was present.
People told us staff had the right knowledge and skills to care for them effectively. There was a very low staff turnover which enabled staff to develop a high level of knowledge about the people they were caring for. Staff were supported with appropriate training and supervision.
People were supported to maintain good health. The service liaised with external healthcare professionals where appropriate.
People were supported to maintain good nutrition and hydration by the service.
The service was acting within the legal framework of the Mental Capacity Act 2005 (MCA). Staff supported people to make informed choices about their care and support.
People all said staff were kind and caring. Staff had developed strong relationships with people and knew them well.
People told us they received appropriate care that met their needs. People said staff arrived at the right time and completed all the required care and support tasks. Records we reviewed provided evidence that this was the case.
A system was in place to record and respond to complaints. People we spoke with told us they were all very happy with the service and had no cause to complain.
Improvements were needed to care plan documentation to ensure they provided clear information on people’s needs and the care and support they required at each visit. However we concluded this had a minimal impact on people who used the service due to how familiar the staff team were with people and their individual needs.