Updated 9 August 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by an inspector and an 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. The Expert by Experience contacted people and relatives by telephone to gain their feedback about the support they received.
Service and service type
360 Degrees Health Care and Rehabilitation Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was announced. We gave the registered manager 48 hours’ notice, to ensure they would be available and to give them time to gain people’s consent for us to contact them for feedback.
What we did before the inspection
We reviewed previous inspection reports and information we had received about the service since the last inspection. This included information from the provider about important events that had taken place at the service, which they are required to send us. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke on the telephone with seven people who were supported by the service and three relatives, to gain their feedback about the support provided. We spoke with two care staff, the development officer, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with an independent consultant who provided supervision and support to management and staff.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at one staff recruitment file and staff supervision and appraisal records. We also reviewed a variety of records relating to the management of the service, including policies and procedures and audits.
After the inspection
We received updates from the provider about changes made to documentation. We contacted seven community professionals who regularly visit the service for their feedback about the support provided.