Background to this inspection
Updated
7 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. 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
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses in the community.
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.
This inspection was announced. 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.
Inspection activity started on 14 November 2019 when we visited the office location. It ended on 15 November when we finished obtaining feedback from people who used the service, staff and relatives.
What we did before the inspection
We reviewed information we had received about the service since it was registered. We sought feedback from professionals who work with the service. This included notifications which the provider is required to send us to tell us about certain events.
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The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection-
We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with two members of care staff, the registered manager, and quality and compliance manager. We received written feedback from a professional with experience of the service.
We reviewed a range of records. This included two people’s care plans and medication records. We looked at two staff recruitment files, including induction, training and supervision. We reviewed a variety of records relating to the overall quality and management of the service.
Updated
7 December 2019
About the service
Right at home Hemel Hempstead is a domiciliary service supporting people in their own homes in the community. 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 inspection, the service was supporting 8 people.
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 were positive about the service they received. People felt safe and received care which was effective from staff who had the skills, experience and were well supported. Staff were recruited safely, and there were enough numbers of staff to meet people’s needs at their preferred times. People received their medicines regularly from staff who had been trained. Peoples capacity was assessed where required in line with the MCA requirements.
Staff were caring and compassionate and respected and promoted people’s privacy and dignity. People were aware of how to raise concerns and were asked for feedback and this feedback was used constructively to drive continual improvements. The service was well led and managed. There were quality assurance systems and processes in place to help monitor the overall quality and safety of 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating since last inspection
This service was registered with us on 15/11/2018 and this is the first inspection, since registration.
Why we inspected
The inspection was planned in accordance with the date the service was registered.
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.