Background to this inspection
Updated
28 September 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 was 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 14 July 2016 and was carried out by a single 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.
We gave the registered manager 48 hours’ notice before the inspection to make sure that appropriate staff and managers would be available to assist us with our inspection.
Before the inspection, we reviewed information we held about the service including statutory notifications sent to us by the registered manager about incidents and events that occurred at the service. Statutory notifications include information about important events which the provider is required to send us by law. The provider completed a Provider Information Return (PIR). This is a form that requires providers to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to inform the planning of the inspection.
During the inspection, we spoke with the registered manager and five staff members. We reviewed five people’s care records and their medicines administration records. We looked at staff records including recruitment, training, supervision and appraisal reports. We reviewed safeguarding records and the complaints procedure. We looked at quality monitoring arrangements including compliments records, team meeting minutes, accident and incident reports and quality assurance records.
After the inspection we spoke with seven people using the service and two relatives and received feedback from two social care professionals.
Updated
28 September 2016
This announced inspection took place on 14 July 2016. Home Instead Senior Care – Bromley, Chislehurst and Orpington provides personal care and support to people living in their own homes. At the time of our inspection there were 23 people receiving personal care. Home Instead Senior Care was last inspected on 24 April 2014. The service met all the regulations inspected at that time.
The service has a registered manager. 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.
People received support from staff who understood their health conditions and the related risks to their wellbeing. Staff had support plans to guide them on how to support people safely with their needs and identified risks. There were sufficient staff available to meet people’s needs. Staff sought people’s consent before they supported them with care.
People received support in line with the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Staff supported people who may lack mental capacity to understand and make decisions relating to the care they required. Where a decision had to be made for the person the service had followed 'best interest' process and involved healthcare professionals and people close to the person.
Staff told us the registered manager was approachable and supportive. Staff received regular supervisions and annual appraisals. The service used feedback to improve their practice. The registered manager ensured staff received training in relation to specific needs of people.
People told us staff were polite and treated them with respect. Staff involved people and their relatives in planning their care. Staff carried out risk assessments and there were care plans to provide them with guidance to support people safely.
People received the support they required to access healthcare services. Staff supported people with eating and drinking as appropriate and in line with guidance from healthcare professionals.
The registered manager regularly obtained feedback from people and their relatives on the support people received and their views of the service. The service considered people’s views and used them to improve the quality of their care and support.
People understood how to make a complaint and told us they were confident the registered manager would take action to resolve their complaints. The registered manager regularly monitored the quality of the service and improvements were made to the service.