Background to this inspection
Updated
30 March 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 planned this inspection to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 team consisted of one inspector and one 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
Enablement service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager who was registered with the Care Quality Commission. This means 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 carried out the inspection visit on 9 March 2022. It was announced. The provider was given 48 hours' notice because the registered manager can be out of the office supporting staff or providing care. We needed to be sure that they would be available.
What we did
Before our inspection, we reviewed the information we held about the home which included statutory notifications and safeguarding alerts and the Provider Information Return (PIR), which the provider completed before the inspection. The PIR is a form that asks the provider to give some key information
about the service, what the service does well and improvements they plan to make.
During our inspection we went to the service's office and spoke with the registered manager, A team manager and one of the care staff. We looked at four care records and three staff records; we also looked at various documents relating to the management of the service.
After the inspection
We spoke to four relatives and eight people who used the service. We also spoke to an additional four care staff.
Updated
30 March 2022
About the service
Enablement service provides personal care to people in their own home. The service offered support to people that had left hospital or were recovering from a recent illness or injury. The service provides short term, intensive support to help people with everyday tasks that includes personal care. At the time of our inspection, there were 97 people who received personal care from the service. Due to the nature of the support the number of people receiving a service varied from week to week.
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.
People’s experience of using this service
People told us they were happy with the care and support they received because they felt safe and all their needs were met by kind and caring staff.
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people. Staff supported people to take medicines safely.
People's care was planned and risks to their safety and wellbeing were assessed. The service reviewed these plans regularly, involving people in these reviews and asking for their opinions. They delivered good quality care which had led to improvements in people's health and well-being.
Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.
People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the manager.
The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.
Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.
People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well. Care plans contained information about each person’s individual support needs and preferences in relation to their care and we found evidence of good outcomes for people. When people did not have the capacity to make their own decisions, staff maximised their involvement and made decisions in their best interests, in accordance with legislation.
Recruitment practices were safe and relevant checks had been completed before staff worked at the service.
People confirmed the service did not miss any care calls and that staff were usually on time.
People received care and support from a small group of staff, which provided consistency.
The managers of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.
The provider had systems in place to monitor and improve the quality and safety of the service provided. There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued.
More information is in the full report.
Rating at last inspection
At the last inspection we rated this service Good. The report was published on 5th October 2018.
Why we inspected
We carried out a focused inspection of this service on 9 March 2022. This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions safe, effective and well led.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Enablement Service on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner.