Updated 27 April 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 completed 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 were two registered managers in post for this location.
Notice of inspection
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 4 April 2022 and ended on 8 April 2022. We visited the location’s office on 7 April 2022.
What we did before the inspection
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 consulted health and social care professionals and reviewed their feedback. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records. This included four people’s care records. We looked at two 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 also reviewed. We spoke with the two registered managers on site.
After the inspection
We contacted six people or their relatives to provide views on the care received. We spoke with six care staff. We contacted two health and social care professionals who had knowledge of the service. We continued to seek clarification from the provider to validate evidence found. We looked at further training data and reviewed quality assurance records.