Background to this inspection
Updated
14 December 2016
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 4 November 2016 and was unannounced.
The inspection was carried out by one adult social care inspector.
Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
Prior to the inspection we reviewed information we held about the service, including statutory notifications. A statutory notification is information about important events which the provider is required to send us by law. We also reviewed the information we held, including safeguarding information and previous inspection reports. In addition to this we contacted the local authority contract monitoring team who provided us with any relevant information they held about the service. We did not receive any information of concern about this service.
During the inspection we did not speak with the person using the service because of their complex needs. We spoke with one staff member and the registered manager. We looked at the care records of the person who used the service and other associated documents such as policies and procedures, safety and quality audits and quality assurance surveys. We also looked at two staff personnel and training files, service agreements, staff rotas and staff supervision records.
Updated
14 December 2016
We carried out an unannounced inspection at Creative Support East Lancashire Personalised Services on the 4 November 2016.
Creative Support East Lancashire Personalised Services is registered with the Commission to provide personal care. The service offers support to people in tenancy accommodation or within a community setting in their own homes. The range of services provided includes personal and social care and domestic assistance. At the time of our inspection there was one person receiving a service.
We last visited Creative Support East Lancashire Personalised Services on the 25 November 2013 2014. The service was fully compliant in all areas assessed.
At the time of this inspection there was a registered manager in post. 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.
During this inspection we found the service was meeting the current regulations.
People using the service received care and support from a team of staff who had been recruited safely and trained to deliver safe and effective care and support. Supervision of staff meant there was good oversight of how staff conducted themselves, protected people from abuse or harm and ensured they were treated with respect.
Staff had been trained in safeguarding vulnerable people and knew what to do if they suspected any abusive or neglectful practice. Safeguarding procedures were in place to guide and direct staff in reporting any concerns they had. People had the opportunity to report any concerns regarding the staff who supported them to senior management.
Risks to people’s health, welfare and safety were managed very well. Risk assessments were thorough and informed staff of the actions to take to support people safely. People knew they could contact the agency at any time and had emergency contact details for out of office hours.
There were appropriate arrangements in place to support people to take their medicines. People received their medicines as prescribed by staff that had been trained to do this safely.
Staff knew what to do in emergency situations and had guidance around keeping themselves and people they supported safe. Good arrangements were in place for staff to gain entry into people’s homes without placing them at risk.
Staff were trained in the principles of the Mental Capacity Act 2005 and understood the principles of ‘best interest decisions’ regarding people’s care and support. People’s diversity was respected and care plans were well written, person centred and focused on the needs of people using the service. People’s right to privacy, dignity, choice and independence was considered and reflected in their care plan.
Staff were well trained and supported by the manager to gain further skills and qualifications relevant to their work. Staff were effectively supervised and were subject to quality monitoring checks to make sure high standards were being maintained at all times.
The service provided was flexible in meeting people’s needs. Visit times were scheduled to suit personal requirements. Assessment of people’s needs was an on-going process which meant any changes to their care was planned for. Changes to people’s needs and requirements were communicated well which meant staff were kept up to date with these changes.
People had opportunities to raise any issue of concern or pass on compliments about the service to the manager and registered provider.
Staff expressed their confidence in the registered manager and felt the agency was very well managed. Their performance was monitored well and they were accountable for their practice. They worked together as a team, felt valued and expressed job satisfaction.
We found there were good systems in place to assess and monitor the quality of the service, which included feedback from people using the service.
The provider had achieved the Investors In People award (IIP) demonstrating the provider’s commitment to good business and excellence in people management.