Background to this inspection
Updated
24 March 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was 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.
This inspection took place on 23 February 2016 and was unannounced.
The inspection team consisted of one inspector and an expert by experience that carried out interviews with people who used the service or their relatives. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience had expertise in domiciliary care.
We asked the provider to complete a Provider Information Return (PIR). This 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. We used the returned PIR to help in the planning of our inspection. We reviewed other information that we held about the service. This included notifications we received about incidents and events that had occurred at the service. We also looked at questionnaires that we had received from people who used the service and professionals to help us plan the inspection.
We spoke with five people who used the service and one relative, four care staff, the deputy manager and the registered manager. We viewed five records about people’s care and medicine records. We also viewed records that showed how the service was managed, which included staff training, induction records and audits completed by the registered manager.
Updated
24 March 2016
We completed an unannounced inspection at Camoys Court on 23 February 2016. At the last inspection in 12 November 2013, we found that the service was meeting the required standards in the areas that we inspected.
Extra Care Charitable Trust - Camoys Court are registered to provide personal care. People are supported with their personal care needs to enable them to live in their own homes and promote their independence. At the time of the inspection the service supported 30 people in their own homes.
There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff and the registered manager understood their responsibilities to keep people safe where abuse may be suspected.
People’s risks were assessed. Staff knew people’s needs and carried out support in a safe way whilst they ensured that people’s independence was promoted.
The registered manager had a system in place to monitor incidents and accidents and actions had been taken to lower the risks and ensure that people were protected from the risk of further occurrences.
There were enough suitably qualified staff available to meet people’s assessed needs. The provider had an effective system in place to monitor the staffing levels against the needs of people who used the service.
We found that people's medicines were managed and monitored in a way that kept people safe from harm.
Staff received regular training which ensured they had the knowledge and skills required to meet people’s needs. Staff told us that they felt supported by the registered manager.
People consented to their care and where they were unable to consent mental capacity assessments had been carried out in line with the Mental Capacity Act 2005 (MCA). Staff showed they understood and applied the requirements of the MCA. This ensured that when people had the ability to make decisions for themselves, their decisions were respected. It also ensured decisions were made in people’s best interests if they were unable to do this for themselves.
People were supported to eat and drink sufficient amounts and staff understood people’s dietary needs when they supported people with their diet.
People were supported to access health professionals and referrals for advice were sought by the registered manager, which ensured people’s health and wellbeing was maintained.
People received care that was caring and compassionate and they were enabled to make choices about their care. People’s dignity was maintained when they received support from staff.
People were involved in the planning and review of their care, which was planned and carried out in a way that met their preferences.
People told us they knew how to complain and the provider had an effective system in place to investigate and respond to complaints.
People and staff were able to approach the registered manager and staff felt supported to carry out their role.
People’s feedback was sought and acted on by the registered manager to make improvements to the quality of care people received.
Effective systems were in place to assess, monitor and manage the service. The registered manager was continually looking for areas to improve the quality of the service.
The registered manager worked in partnership with key agencies to promote and maintain good working relationships.