Background to this inspection
Updated
21 February 2020
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
This inspection was undertaken by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. This service provides care and support to people living in seven ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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
We gave the service notice of the inspection; the inspection was undertaken on a Monday and we announced the inspection the Friday before. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started 27 January 2020 and ended 30 January 2020.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
One the first day of our inspection on 27 January 2020 we visited the service’s office. We spoke with the registered manager, the service manager and the human resource manager. We reviewed a range of records. This included three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We observed an ‘on call’ handover meeting between the registered manager and two team leaders. We visited one house where three people lived. We spoke with two of these people about their experiences of using the service. We also reviewed their care records, medicines records and records including audits. We also spoke with a team leader and a support worker.
On 28 January 2020 to 30 January 2020, we spoke with one person who used the service, three relatives and three staff members, including team leaders and a senior support worker, on the telephone. We received electronic feedback from a professional who was involved in the care of people using the service.
After the inspection
We looked at information sent to us by the registered manager, including the recruitment policy and focus group feedback.
Updated
21 February 2020
About the service
Green Rose Care Head Office is a domiciliary care service, which provides personal care to people living in their own homes. At the time of our inspection the service was providing support to 13 people across seven supported living locations in Suffolk. Some people shared their homes with other people using the service and some lived alone. Some people received 24 hour care and support and some required support at specific times. People who used the service had complex needs, including learning disability, autism spectrum disorder, mental health conditions and acquired brain injury. 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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
There were systems to assess and mitigate risks, these were designed to keep people safe from avoidable harm and abuse. There were enough staff to provide care and support to people and staff were recruited in line with requirements. The management of medicines was safe. People were safeguarded by the service’s infection control processes.
Staff received training to meet people’s needs effectively. The support people required with their health and dietary needs was assessed and met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s individual needs were assessed, planned for and met. People were cared for by compassionate staff who were committed to providing high quality care.
The provider and registered manager had systems to assess and monitor the service people received. This assisted the provider and registered manager to identify potential shortfalls and address them. People’s views about the service were sought, valued and used to drive improvement. There was a complaints procedure and concerns and complaints were addressed. Staff were supported and empowered to provide good quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 1 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.