Background to this inspection
Updated
3 November 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a domiciliary service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We used information gathered as part of monitoring activity that took place on 11 July 2022 to help plan the inspection and inform our judgements. We sought feedback from Nottingham City's Adult Safeguarding and Quality Assurance Team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
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.
We used all of this information to plan our inspection.
During the inspection
We were able to speak with one person and two relatives of people who used the service about their experience of the care provided. We spoke with five staff members this included two carers, the care coordinator, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included three people's care records and multiple 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 staff training information and policies and procedures were reviewed.
Updated
3 November 2022
About the service
47 Newlyn Drive is a domiciliary care service providing personal care to people living in their own homes so they can live as independently as possible. The service provides support to people living with dementia, learning disabilities or autism, people with mental health needs, older people, physical disability and sensory impairment. At the time of our inspection there were 13 people using the service.
People’s experience of using this service and what we found
Risks were not always effectively assessed and mitigated. Risk assessments had not been completed in full for each risk area identified but the provider was in the process of reviewing and updating information. Staff were not always recruited safely. There were several documents missing from the recruitment and selection process to check if staff were suitable to work at the service. However, it was seen that this process had improved with recently recruited staff. Medicines were managed and monitored effectively. People were given their required medication so they remained safe and well.
Care plans contained appropriate person centred information on people’s support needs and preferences. People told us they had been involved in care planning.
Relatives and people using the service told us they received care from friendly and caring staff. Staff understood how to promote people’s independence and respected their privacy and dignity.
People were encouraged to give feedback on the service and the provider. People told us they felt they were listened to and concerns were investigated and resolved.
There was effective management oversight throughout the service. The provider listened to advice from feedback throughout the inspection and began to make changes immediately.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 18 April 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.