Updated 5 September 2023
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 homes.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post. The service also had a service manager who was in the process of applying to take over the role of registered manager. The service manager ran the service on a day-to-day basis.
Notice of inspection
We gave the service a short period of notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection. Inspection activity started on 25 July 2023 and ended on 7 August 2023. We visited the location’s office on 31 July 2023.
What we did before the inspection
We reviewed information we already held 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.
During the inspection
During the inspection we spoke with 9 members of staff, including the registered manager, service manager and regional manager. We also spoke with 2 occupational therapists, 3 reablement workers and a senior administration worker.
We spoke with 2 people using the service, one relative and a friend who was supporting an individual using the service. We spoke with 3 health and social care professionals.
During our visit we looked at care records, medication records, staff recruitment records, supervision and competence documentation, training records, and the policies and procedures used by the provider.