Updated 9 July 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 home.
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 the service is small, and we wanted to be sure there would be someone available to support the inspection when we visited.
Inspection activity started on 13 April 2022 and ended on 22 April 2022. We visited the location’s office on 13 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 reviewed information we had received about the service since it registered with us. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager by video link and the nominated individual who was based in the office. The nominated individual is responsible for supervising the management of the service. The nominated individual of this service is also the provider. We spoke with members of the management team and office staff, including the Training Manager and the Director of Systems and Compliance.
We reviewed a range of records. We looked at four staff files in relation to recruitment and staff supervision. We looked at four electronic care plans and medication records. We looked at training data and quality assurance records. A variety of records relating to the management of the service, including audits, were reviewed.
After the inspection
We continued to seek clarification from the registered manager and nominated individual to validate evidence found. We looked at records shared with us by the nominated individual including policies, procedures and further details of care plan records.
We spoke with seven people and relatives who used the service, about their experience. We spoke with five staff members about working for the service.