Background to this inspection
Updated
11 June 2022
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 Health and Social Care Act 2008.
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 and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 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 18 May 2022 and ended on 27 May 2022. We visited the location’s office on 26 May 2022.
What we did before the inspection
We reviewed information we had received about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with five people who used the service and three people’s relatives. We spoke with five members of staff which included the registered manager, care co-ordinator and care staff. We reviewed five people’s care and medication records as well as a range of documents related to the monitoring of the service provided.
Updated
11 June 2022
About the service
Onpoint Homecare Ltd is a domiciliary care service providing personal care to people living in their own homes. At the time of our inspection there were 28 people using the service.
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 our inspection, 26 people were receiving support with personal care.
People’s experience of using this service and what we found
People were supported by staff who understood risks to each person and how to support the person to manage those risks. Staff understood their responsibilities around the recording and reporting of safeguarding and were able to recognise signs of abuse. There were enough staff to support people and staff had been recruited safely. People received their medication as prescribed and staff had received training and competency checks to ensure medicines were given safely. Staff kept up to date with government guidance around infection prevention and control practices and staff wore personal protective equipment (PPE) when supporting people.
Staff had assessed people's needs in line with standards, guidance and the law. People's care plans gave staff a detailed history of the person they supported. People received support from staff that had received an induction into the service and regular training in areas that were relevant to people. Staff worked in partnership with other health and social care professionals to ensure that people received joined up and consistent care and support. 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 by staff that were kind, caring and took an interest in people's lives. Staff spent time speaking with people and understood what was important to people. People were supported by staff to make their own decisions about their care and support. Staff spoke positively about people and about spending time in people's company. Staff encouraged people to be as independent as possible.
People and their relatives told us that people received person-centred care from staff that knew them well. People's care plans gave clear guidance for staff on how people wanted to receive support. Staff were able to tell us the various ways they communicated with people and this information was clear in people's care plans.
Staff were led by kind, caring leaders who encouraged regular feedback from people and their relatives. People and their relatives told us that staff regularly made a difference and brightened up their day. There were quality assurance processes in place that the registered manager used to monitor the service. Staff, people and their relatives felt involved in the running of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 9 October 2020 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.