Background to this inspection
Updated
15 January 2020
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
This inspection was conducted by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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
The inspection was unannounced.
Inspection activity started on 16 December 2019 and ended on 16 December 2019. We visited the office location on 16 December 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people using the service. We also spoke with five staff including the head of care, the registered manager, and three care workers.
We reviewed a range of records. This included four care records and medicines records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints and incident forms were reviewed.
After the inspection
We requested additional evidence to be sent to us after our inspection. This including the training and induction programme records and feedback survey results.
Updated
15 January 2020
About the service
Battersea Place Retirement Village Limited provides a domiciliary care service for older people living in 103 apartments on site.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection, out of the 105 occupied apartments, 10 people were receiving personal care.
People’s experience of using this service and what we found
We found some aspects of care planning was inconsistent. Although, the provider provided reassurance to us after the inspection they had taken steps to rectify the issues found, these issues could have been identified and corrected earlier.
People told us they were happy with the standard and delivery of care they received. They told us they felt safe and secure. Care workers had received training in safeguarding and infection control and were aware of what they would do to protect people from harm and poor infection control practice. There were enough care workers employed to provide safe and timely care to people and recruitment procedures were robust. Risks to people were identified and care plans were in place to manage potential risks.
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 workers received training that was relevant to their role. They were competency assessed on their ability to administer medicines effectively. People using the service were independent in managing their nutritional and general healthcare needs themselves, but care workers supported them if required. Where people’s needs changed, the provider carried out assessments which helped to ensure care was delivered in a way that met their needs. People told us they were involved in planning and consenting to their care.
People said that care workers were kind and compassionate and treated them well. Care workers were recruited based on the caring values they demonstrated during their recruitment. People were supported to maintain their independence. People’s views were considered, and they were able to express their views through meetings and resident committees.
People told us they led active, independent lives and there was a good activities program available to them if they chose to take part. No formal complaints had been raised, people felt confident that if they did these would be considered, and appropriate action taken.
There had been some changes in the management of the service with a newly recruited registered manager and head of care. People and care workers told us these changes did not have an impact on the delivery of care. They felt that the registered manager was approachable and a good manager. Quality assurance checks took place, these were effective in identifying areas of improvement which were included in a service improvement plan.
Rating at last inspection
The last rating for this service was Good (published 2 June 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk