Background to this inspection
Updated
16 October 2019
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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
The service is a domiciliary care agency that provides personal care to people in their own homes. At the
time of our inspection four people used the service.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at the office to speak with us.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
We visited the office location on 18 September 2019 to see the registered manager, review care records and policies and procedures and to speak to people. We made calls to staff on 19 September 2019.
During the inspection-
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with three members of staff including registered manager and care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
16 October 2019
About the service
8 Wyndham Close is a domiciliary care agency that provides personal care to people in their own homes. At the time of our inspection four people used the service. The service is also registered to provide accommodation and personal care at 8 Wyndham Close and treatment for disease, disorder or injury (TDDI). Since its registration in January 2015 the service has not provided TDDI or accommodation and personal care to people at 8 Wyndham Close. Therefore, we did not inspect these aspects of the service.
People’s experience of using this service and what we found
We made a recommendation for medicine management due to issues relating to the medicine administration record. Staff had been trained in medicine management and had their competencies checked. Staff had completed training in line with the company policies and procedures, including safeguarding training for adults and staff knew how to report and record and concerns.
Audits and spot checks were completed, however certain audits had failed to identify some of issues raised on inspection. People, relatives and staff were asked for feedback on the service via surveys and meetings.
People told us they felt safe with staff and that staff knew them well and completed care in line with their wishes and needs, however when staffing changed people were not informed of who would be coming. Staff had been recruited safely and had all the relevant checks in place before they started with the service. New staff completed an induction and training schedule before completing lone working.
People and relatives told us that staff were kind and caring towards the people they supported. People and relatives had a good relationship with staff.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Care plans and risk assessments were completed with details of people’s preferences, choices, communication, likes and dislikes. This supported staff to know how to support the person well.
Staff supported people to access healthcare services when appropriate and made referrals as required to the relevant professionals such as, occupational therapy, GP’s and district nurses.
Staff respected people’s right to privacy and promoted people to be as independent as possible. People’s communication needs were known by staff and the registered manager could provide documentation in different formats to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 21 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.