Background to this inspection
Updated
6 August 2021
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 was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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
We gave short notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection site visit activity started on 10 June and ended on 30 June 2021. We visited the office location on 10 June 2021.
What we did before the inspection
Prior to the inspection visit we reviewed information we had received about the service since they registered. The registered manager completed 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 they do well and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with eight people who used the service and five relatives via the telephone about their experience of the care provided. We spoke with 14 members of staff including the registered manager, deputy manager, care coordinators, talent manager and care workers. We also spoke with four health care professionals to seek their feedback.
We reviewed a range of records. This included three people’s care records, medication records and daily records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
6 August 2021
About the service:
Kinetic Nursing Services is a domiciliary care agency providing care and support to people in their own homes in the community. The service provides help with people's personal care needs in Rotherham and surrounding areas. At the time of the inspection they were providing personal care for 128 people.
People’s experience of using this service:
People and relatives we spoke with told us staff were excellent and made them feel safe. Staff understood safeguarding and whistleblowing procedures. We found adequate staff were employed to meet people’s needs. The recruitment process was robust to ensure only staff suitable to work with vulnerable adults were employed. The registered manager promoted a focus on openness and transparency. This ensured staff learned when things went wrong. Accidents and incidents were monitored to enable positive risk taking. People were protected by the prevention and control of infection. Medication systems were in place and followed by staff to ensure people received their medicines as prescribed. Improved documentation was implemented at the time of our inspection.
Staff were extremely knowledgeable about people needs, people told us the care provided was person-centred and individualised. Staff said training was good and kept their knowledge up to date. Staff were supervised and supported. 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 who required support with meals were supported to be able to receive a balanced diet. People had access to health care professionals, staff worked closely with professionals to ensure people's needs were met. Professionals we spoke with told us the care provided was excellent.
People told us the staff were kind and caring. People were involved in their care planning to ensure their decisions and choices were reflected. Most people told us they were supported by the same group of staff, which ensured consistency. People told us staff were flexible and their care was consistently delivered to meet their needs and choices. People received care that was responsive to their needs. Staff understood people’s needs, including social, cultural, values and beliefs.
People were supported at the end of their life. The agency worked closely with health care professionals and provided outstanding end of life care. The staff ensured people and their families wishes were explored and plans developed so these were met. Staff were extremely passionate to ensure all people's needs were met and wanted to provide the highest possible quality of care including supporting family members.
There was a robust quality monitoring system in place to ensure continued improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This service changed registration details with us on 24 July 2019 and this is the first inspection since. The last rating for the service under the previous registration was good, published in 2017.
Why we inspected:
This was a planned inspection based on the date of registration.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.