Background to this inspection
Updated
6 August 2015
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 is 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 16 June 2015 and was announced. The provider was given a short notice period because the location provides a domiciliary care service and we needed to be sure that senior staff would be available in the office to assist with the inspection.
The inspection was carried out by one inspector.
Before the inspection we reviewed the information we held about the service which included notifications they had sent us. Notifications are sent to the Care Quality Commission to inform us of events relating to the service. We received feedback from one local authority commissioner.
During the inspection we spoke with five people who use the service, two relatives and a live-in carer not employed by the service. We spoke with three members of staff, the interim manager, the regional director and a local authority commissioner. We looked at records relating to the management of the service including four people’s care plans, policies, four staff recruitment files, training records, complaints log and accident/incident records.
Updated
6 August 2015
This inspection took place on 16 June 2015 and was announced. Radis Community Care (Cedar Court) is a domiciliary care agency. Support is provided to people living in the Cedar Court Extra Care Scheme. The Extra Care team can assist adults with a variety of needs and operates from an office within the housing complex.
At the time of the inspection the service was providing personal care to thirty-one people.
There was a registered manager in post at the service, however, we were told they were on long term leave and an interim manager was managing the day to day running of the service supported by the regional director. 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.
There were systems in place to manage risks to people and staff. Staff were aware of how to keep people safe by reporting concerns promptly through procedures they understood well. However, although a safeguarding concern had been appropriately reported to the local authority a notification had not been sent to the Care Quality Commission (CQC).
Staff received an induction and spent time working with experienced members of staff before working alone with people. Staff received training in topics the provider considered essential. However, some staff needed to refresh their training and the manager confirmed training had been planned.
Although staff had not had regular one to one meetings with their manager they felt well supported by the interim manager and said they were listened to if they raised concerns. Staff felt there was an open culture in the service and they were comfortable to approach the interim manager for advice and guidance. Regular staff meetings were held and staff were able to contribute to developing the service through discussions.
People were happy with the service they received and felt safe using the service. People had been involved in decisions about their care. They told us that staff were caring and said they treated them with dignity and respect. People also told us their privacy was protected and confirmed staff gained their consent before providing care.
People told us they had been asked for their views on the service and were able to raise concerns and complaints if they needed to. They felt the interim manager would take action if necessary.
People’s needs were reviewed and up to date information was communicated to staff to ensure they could provide appropriate care. Staff contacted healthcare professionals if there were concerns about a person’s wellbeing.
The provider’s recruitment procedures were robust, medicines were managed safely and there were sufficient staff to provide safe, effective care.
The quality of the service was monitored by the interim manager and the provider. Feedback was sought from people and care records were audited.
Staff were aware of how to deal with emergency situations and the provider had plans in place to deal with emergencies.
Complaints were addressed and action taken according to the provider’s policy.
We found one breach of the Care Quality Commission (Registration) Regulations 2009. You can see what action we have told the provider to take at the back of the full version of this report.