Casbrook Home Care Limited

Updated 28 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was completed by one inspector.

Service and service type:

Casbrook Home Care is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone using the service received the regulated activity 'personal care'. The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. The service provider was also registered as the manager. They were legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was announced. We gave the provider 48 hours' notice because the location provides a domiciliary care service and we needed to be sure the registered manager was available.

What we did:

We reviewed information we had received about the service, including information within the Provider Information Return (PIR). 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.

The inspection started on 2 May 2019 by visiting the office location to meet with the registered manager and to review records. We visited again on 8 May 2019. Following our visits we contacted professionals who work with the service, staff and people using the service to gather their views about the quality of care and support provided.

During our inspection we spoke with the registered manager. We spoke with, or received written feedback from five other staff. We spoke with seven people or their relatives. We checked the care records for ten people using the service, and examined other records relating to the management of the service. These included two staff recruitment files, staff training records, policies and procedures and quality monitoring information.

Updated 28 June 2019

About the service: Casbrook Home Care is a domiciliary care service providing personal care and support to people living in their own homes. The office is located in Romsey, Hampshire and the service currently provides care and support to people living in Romsey and the surrounding area. At the time of our inspection Casbrook Home Care provided care and support to 77 people living in the community.

People’s experience of using this service:

People received safe care. Specific risks to people's safety were assessed and strategies were put in place to reduce the risks.

There were sufficient staff employed to meet peoples’ collective needs. There were robust recruitment procedures in place to ensure only suitable staff were employed.

Where the provider took on the responsibility, people's medicines were safely managed.

Staff followed appropriate infection control procedures to help to reduce the risk and spread of infection.

Staff received training that enabled them to have the skills and knowledge to provide effective care.

Staff received good ongoing support from the registered manager and deputy.

People were supported to maintain good nutrition and hydration.

The service worked in line with The Mental Capacity Act.

People were treated with kindness, compassion and respect.

People and their relatives were involved in the care planning and reviews of their care.

People's needs were assessed, and the care provided met their needs.

The system of electronic record keeping meant the service was transparent and ensured any changes to people’s assessed needs were understood and responded to quickly.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Systems were in place to continuously monitor the quality of the service.

The service was well managed, the registered manager and staff took a pride in the service and sought to continually improve.

Rating at last inspection:

The service was last inspected in October 2016 and we rated the agency as providing good care.

Why we inspected:

This was a planned comprehensive inspection based on the rating from the previous inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner. For more details, please see the full report which is on the CQC website at www.cqc.org.uk