Background to this inspection
Updated
23 March 2017
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 check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
We visited the service on 7 February 2017, this was an announced comprehensive inspection. We gave 48 hours’ notice of the inspection because we needed to be sure that the registered manager would be in. The inspection team consisted of one inspector.
Prior to our inspection we reviewed information we held about the service. This included information received and statutory notifications. A notification is information about important events which the provider is required to send us by law. We contacted commissioners (who fund the care for some people) of the service and asked them for their views. In addition, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection we spoke with three people who were using the service, two relatives, two members of care staff, a team leader, the service manager and the registered manager. We looked at the care plans of three people and any associated daily records such as the daily log and medicine administration records. We also looked at a range of records relating to the running of the service such as satisfaction surveys and quality audits.
Updated
23 March 2017
This inspection took place on 7 February 2017. Scope Inclusion East Midlands is a domiciliary care service which provides personal care and support to children and young adults in their own home. On the day of our inspection five people were using the service.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff received a detailed programme of training which was relevant to the needs of the people they cared for. People were supported to eat and drink enough to maintain good health.
There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.
People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Detailed care plans were in place which underpinned the care that was provided. People knew how to make a complaint and there was a clear complaints procedure in place.
There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.
Further information is in the detailed findings below.