Wright Care at Home

Updated 26 September 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

The inspection was carried out by a single 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.

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 five days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.

Inspection activity started on 16 March 2020 and ended on 02 April 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.

What we did before inspection

We reviewed information we had received about the service since the last inspection and we used this information to plan our inspection.

During the inspection

We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the Care Director, registered manager, a care co-ordinator, two care ambassadors, and two careworkers.

We reviewed a range of records. This included three people’s care records in their entirety. We looked at 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. Surveys and newsletters were also reviewed, as were additional pieces of evidence relating to training and development for staff and the organisation as a whole.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visited the service, a District Nurse who spoke for the whole community nursing team and the external trainer employed by the service.

Updated 26 September 2020

About the service

Wright Care at Home is a domiciliary care agency providing personal care and support to older people and people with mental health needs living in their own homes. At the time of our inspection 13 people were receiving a personal care service. 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.

People’s experience of using this service and what we found

Feedback about the service from people, those close to them and professionals was consistently positive. Staff and people believed in the service and staff which demonstrated it was exceptionally well led and this openness and belief ran through the service. Staff commitment to achieve the best outcomes for people meant they worked creatively and empowered people to “live their best life”.

People told us that there were always enough staff to meet their needs and relatives always felt people were safe. One person said, “I feel very happy and very lucky”. Staff understood how to safeguard people and keep them free from harm. Risks to people's health were known to staff and staff worked to help minimise further risks to the person. Processes were in place to recruit people safely. Staff received training to support people with medicines. Practices were constantly reviewed in order that people received care that was safe.

Distinctive leadership had achieved a service that was outstandingly responsive and well-led. The service was innovative and dedicated to ensuring continuous quality improvement to make a real difference for people. Highly person-centred care truly enriched people's lives and helped them in a way which resulted in extremely positive outcomes.

People were supported to access healthy lifestyles and any support they needed from healthcare professionals. People were also encouraged and supported to connect with the community. Monthly newsletters were produced to promote everyone's involvement in the service. There was a focus on creating a service that welcomed and embraced people's diversity and promoted equality.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was Good (published 20 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.