Background to this inspection
Updated
9 July 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted 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 in the community.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 30 May 2019 and ended on 3 June 2019. We visited the office location on 31 May 2019.
What we did before inspection
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 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 with three people using the service and three relatives to ask about their experience of care. We spoke with the registered manager and the provider’s representative and three care staff.
We looked at four people's care records, multiple medication records, minutes of staff meetings and information relating to the quality and management of the service. This included surveys completed by people and staff, medication checks, compliments received, systems for managing complaints and newsletters about the service for people and staff.
Updated
9 July 2019
About the service
Carewatch Wyre Forest is a service providing personal care to people in their own homes. The service supports people with a wide range of needs, including those living with physical disabilities, dementia and sensory needs. Twenty nine people were in receipt of care at the time of the inspection.
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
People could rely on staff to provide the care planned and were supported by a consistent group of carers. People told us staff were considerate and interested in them. Staff recognised people’s right to independence and supported people to make their own choices. People and relatives told us staff provided care in a respectful way.
People’s safety was promoted by staff who understood how to help them to manage risks they may experience. Staff reflected on people’s care and safety needs and took learning from any concerns, so risks to people were further reduced. People were positive about the way their medicines were managed and said this helped them to remain well.
People felt included in decisions about the care planned with them, which was based on their preferences. People felt empowered to make suggestions about their care as their needs altered. Relatives had complimented staff about the quality of care provided at the end of people’s lives and highlighted how compassionate this had been. Systems were in place to take learning from any complaints.
People said staff knew how to care for them and the care provided was based on their assessed needs. Where people wanted support to access help from other health and social care professionals, and to have enough to eat and drink, staff supported them. People told us this helped them to enjoy the best health possible. 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, relatives and staff were positive about the way the service was led and were asked for their views on how to develop the care provided further. The registered manager and provider checked the quality of the care provided and worked with other organisations to drive through improvements to people’s care.
Why we inspected
This was a planned inspection based on the previous rating.
Rating at last inspection
The last rating for this service was Good (published 01/06/2016).
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk