Background to this inspection
Updated
29 July 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.
The Inspection took place on 8 June 2015 and the visit was announced. We gave the provider 48 hours' notice of the inspection. . We did this to make sure the registered manager would be at the service as sometimes the registered manager is out of the office supporting staff or visiting people who used the service. This inspection was carried out by three adult social care inspectors.
Prior to inspection we reviewed all the information held about the home. The provider had not been asked to provide a provider information return (PIR). This is a document that provides relevant up to date information about the agency that is provided by the manager or owner of the agency to the Care Quality Commission.
People were supported with health care appointments when needed.
During the inspection we went to the providers head office and spoke to the registered manager. We reviewed care records of four people that used the service, reviewed the records of three staff and the records relating to the management of the service. During the visit we spoke with three staff. After the inspection visit we spoke on the phone with eight staff 11 people who used the service and three relatives of people who used the service.
Updated
29 July 2015
We undertook an announced inspection of Home Care Support Domiciliary Care Agency (DCA) on the 8 June 2015. We gave the provider 48 hours’ notice of our visit to ensure that the Registered Manager of the service would be available.
Home Care Support provides personal care services to people in their own homes. At the time of our inspection 148 people were receiving a personal care service.
At our last inspection in July 2013 the service was judged to be meeting all of the regulations we inspected at that time.
The service had a registered manager in place. 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.
Staff, people and their relatives told us they were able to speak to the registered manager if they had any concerns. The service completed spot checks on staff whilst they work and formal supervisions within the first three months of starting work with the agency.
We spoke to 11 people who received care/support from the agency, three relatives and 11 staff. The people we spoke with all said that they felt safe in their home whilst care and support was provided.
Staff had received supervisions and spot checks.
Records we looked at and in our discussions with staff we found staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs.
People told us they were supported to eat and drink. Staff supported them to healthcare appointments and provided personal care as required to meet people’s needs.
Home Care Support had a complaints procedure in place. People who used the service, their relatives and staff knew how to complain. Complaints and compliments were dealt with in accordance with the agency policy.
Accidents and incidents were recorded and addressed by the registered manager, but there was not a robust auditing tool in place to look at any trends or frequencies of occurrences. The registered manager said they were aware of this and it this would be addressed at the next regional meeting to implement next month.