Background to this inspection
Updated
22 August 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
The inspection was announced and was completed by one inspector. We gave the service 48 hours notice of the inspection visit because we needed to be sure someone would be in.
Prior to this inspection we reviewed all the information we held about the service including statutory notifications sent to us by the provider. Statutory notifications provide us with information about important events which the provider is required to send us by law.
Inspection site visit activity started on 20 July 2018 and ended on 23 July 2018. During this time, we spoke with the registered manager, two staff members and one person who used the service. We looked at two peoples care records and three staff files and looked at information relating to the management of the service such as training records, supervision notes and quality monitoring audits.
Updated
22 August 2018
This inspection took place 20 and 23 July 2018 and was announced. This was because the service was a small organisation and we needed to be sure someone was in to help us carry out our inspection. This was the first comprehensive inspection of the service since the service was registered in February 2017.
Intrigue Homecare Limited provides a supported living service to people in their own homes, so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
The service was delivered from a large detached property which was located close to the seafront and all local amenities. The house could accommodate up to five people. At the time of our inspection there were two people using the service.
The care service has been developed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. 'Registering the Right Support' CQC policy.
The service had a registered manager in post. 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.
People were safe living at the service. Risks to people had been assessed and management plans were in place to minimise the risk of harm. Staff knew what to do to keep people safe without imposing unnecessary restrictions on people's freedom.
Staff had been trained in how to protect people from the risk of abuse. There was a whistle-blowing policy in place which provided guidance to staff on how to report any concerns in the workplace.
Medicines were managed safely and staff had been trained and assessed as competent to administer people's medicines. There were sufficient staff deployed who had been safely recruited to meet people needs.
Training and supervision was provided to support staff to be competent in their role and ensure they had the skills and knowledge to provide effective support.
Consideration had been given to people's mental capacity and where required support was provided to help people make their own decisions and choices.
People were supported to have enough to eat and drink and have access to health care services to maintain their health and wellbeing.
Staff were kind and caring and listened to people and included them in how their care and support was delivered. Staff treated people with dignity and respect and helped people to be as independent as they could be.
People's needs were holistically assessed so that staff could provide individualised care that met each person’s needs and preferences.
The service supported people to have access to activities of their own choosing and opportunities for socialisation in the local community.
There were systems and processes in place to manage complaints. People's wishes for their end of life care were known and respected.
The service was well managed by a registered manager who was hands on at the service providing support and oversight of the staff team.
People and staff were included in the running of the service. Feedback was actively sought and used to improve the service.