Background to this inspection
Updated
14 December 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. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The 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 home.
The service had a manager registered with CQC. 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. In addition to the registered manager, a new manager had started working at the service five months before our inspection and had submitted their application to register with CQC. They managed the service on a day to day basis. Throughout the report this person is referred to as the manager.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and we needed to ensure staff would be available to assist. We also made arrangements to visit the person who received a service.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and reviewed information the provider sent us in their registration application. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service. We spoke with the manager, one care worker and one social care professional who had contact with the service.
We looked at records related to people’s care and the management of the service. We viewed one person’s care records, one staff recruitment and induction file, training and supervision information, and records used to monitor the quality and safety of the service.
After the inspection
We continued to review evidence from the inspection.
Updated
14 December 2019
About the service:
The Goddards Home From Home Care is a domiciliary care service that was providing personal care to one person living in their own flat, within supported living accommodation, at the time of the inspection. The service can support people with a learning disability or autistic spectrum condition.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found:
People received a very responsive and person-centred service, but aspects of record-keeping and quality assurance required improvement. Some care records and policies needed reviewing and regular quality checks were not taking in place. We have made a recommendation in this report in relation to quality assessment and monitoring.
Staff had received training, but this was not effectively monitored and some refresher training was overdue.
People were satisfied with the service and confirmed they felt safe and happy. They liked having one regular staff member who knew them well, and with whom they had built a positive relationship over a number of years. People were able to direct when they received support and what they wanted to do. They accessed activities in the community, independently or with the support of staff. Staff were aware of risks to people’s safety and acted to mitigate these. People were supported with their health needs and had regular health checks.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them maintaining their independence.
People, staff and other professionals involved with the service spoke positively about the manager and staff felt supported.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 14 September 2017). Since this rating was awarded the provider has altered its legal entity. They registered with the Care Quality Commission under this new legal entity on 28/11/2018.
Why we inspected:
This was a planned inspection based on the provider’s new registration.
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.