Background to this inspection
Updated
31 October 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 one 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 made telephone calls to people to gain their views about the service.
Service and service type
Home Instead Senior Care (Calderdale and Spen Valley) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.
The service had a manager registered with the Care Quality Commission. The registered manager was also the provider. This means that they 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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
Inspection activity started on 23 September and ended on 25 September 2019. We visited the office location on 25 September 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 five members of staff including the provider who is also the registered manager, deputy manager and three care workers.
We reviewed a range of records. This included three people’s care and medication records. 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.
Updated
31 October 2019
About the service
Home Instead Senior Care (Calderdale and Spen Valley) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. Not everyone using Home Instead Senior Care (Calderdale and Spen Valley) receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection there were 34 people receiving personal care.
People’s experience of using this service and what we found
People felt safe when receiving care and support. There was a good standard of information showing how staff could minimise any risks, and people received their medicines safely.
Staff were recruited safely, well trained, and the service aimed to make sure people had consistent staff providing their care.
People had good relationships with staff and were complimentary of the care and support they received. People said staff took time to support people to communicate their needs and respected people’s privacy and dignity.
People were involved in development and review of their care plans to make sure the support they received met with their assessed needs in the way they preferred.
Staff were responsive to people’s health needs and liaised with healthcare professionals as needed.
Systems were in place to learn from issues such as safeguarding concerns, accidents and complaints.
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. People had signed their consent to care plans and the process for making best interest decisions for people who lacked capacity were followed.
Robust systems were in place to gain the views of people using the service. Feedback from people was analysed and used to inform the review of the service.
The registered manager acknowledged that the process for managing complaints about the service would benefit from some improvements.
The registered manager provided people with leadership and promoted a supportive and inclusive team culture. People said they had confidence in the management of the service.
Rating at last inspection and update: The last rating for this service was requires improvement (published 03 October 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.