Updated 28 August 2021
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 two inspectors. One inspector visited the office and then made contact with people by email and telephone, one inspector made contact with people following the visit.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. The registered manager is also the nominated individual and provider of this service. This person is 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 June 2021 and ended on 28 June 2021. We visited the office location on 23 June 2021.
What we did before the inspection
We reviewed information we had received about the service since it was registered, this included statutory notifications received from the service. Statutory notifications include important information which the provider is required by law to send us. We asked the registered manager to send us a range of information about the service including policies and documents about how the service was run. We used all of this information to plan our inspection.
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
During the inspection
We spoke with two relatives about their experience of the care provided. We spoke with three office managers including the registered manager.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at five 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.
After the inspection
We spoke with three people who use the service and four relatives. We spoke with five care staff and continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with an external professional who knew the service.