Background to this inspection
Updated
29 October 2019
The inspection
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.
Inspection team
The inspection consisted of one inspector.
Service and service type
This service is a supported living and domiciliary care agency. It provides personal care and support 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
This inspection was announced and took place on 2 October 2019. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
Before the inspection, we reviewed information we had received about the service, including notifications. Notifications are information about specific important events the service is legally required to send to us. We considered information the provider sent us in the provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does 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 two people who used the service to gain their experience of the care provided. The registered manager was not available on the day of our inspection. We spoke with two members of staff including the deputy manager and a member of the support team. We reviewed a range of records, including; people's care records and medicine 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 policies and procedures were reviewed.
Updated
29 October 2019
About the service
The Wesley Centre provides personal care and support to people who require assistance in their own home. 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. There were two people receiving personal care at the time of our inspection.
People's experience of using this service and what we found
People said they were happy receiving the service from The Wesley Centre. They told us they enjoyed being with the staff and the independence the service promoted.
Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for and supported by staff who had received the appropriate training including, safeguarding and whistleblowing. Staff were employed following the appropriate recruitment checks.
Risks were minimised and to support people to be safe risks to people were identified and when needed a risk plan was in place. Staffing numbers were sufficient to meet people's needs. This meant people were supported safely. People told us they felt safe living at the service.
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.
People were supported to maintain good health, received timely medication and went to see external health care professionals when required.
Staff were caring towards people and there was a good relationship between people and staff. Staff demonstrated and in-depth understanding of the needs and preferences of the people they cared for.
Support provided to people met their needs. Care records contained clear and detailed personalised information about what was important to people and how to support them. People were involved in activities of their choice.
There were systems in place to assess, monitor and improve the quality and safety of the service. The provider had recognised the need to make the medication audit more robust. Staff described the registered manager and other senior staff as supportive and approachable.
This service was registered with us on 15/12/2017 and this is the first inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.