Background to this inspection
Updated
14 August 2018
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.
Our inspection site visit was on the 24 and 26 January 2018 and was unannounced. The inspection was conducted by one inspector.
Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We considered this when we inspected the service and made the judgements in this report. We reviewed information we held about the service this included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts, which they are required to send us by law.
As part of our planning for this inspection, we also requested information about the service from the local authority. They have responsibility for funding and monitoring the quality of the service.
We visited the provider’s main office location and while most people were unable to communicate with us, we spoke with three people, two relatives, three members of the care staff, a care manager, the recently appointed registered manager, the director and the chief executive. We looked at the care records for two people, the recruitment and training records for three members of the care staff and records used for the management of the service; for example, staff duty rotas, accident records and records used for auditing the quality of the service.
Updated
14 August 2018
The inspection took place on 24 and 26 January 2018 and was unannounced. The last inspection that was carried out on the 9 March 2016 rated the service as Good in all five questions.
Careview Caring Support Services is registered to provide personal care services to people in their own homes. This service is a domiciliary care agency and also provides care and support to people living in a supported living environment, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
On the day of the inspection there were 25 people receiving support. 15 people were living in a supported living environment and 10 received domiciliary services.
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.
People received support that was safe and care staff knew what to do where people were at potential risk of harm. There was sufficient care staff to support people on a timely basis. Care staff had access to protective equipment and a good understanding of infection control to reduce any potential risks to the people they supported. Where people were supported with their medicines this was done as it was prescribed.
Care staff received support to ensure they had the skills and knowledge to meet people’s needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in place supported this practice.
People decided how they would be supported by care staff.
People were supported by kind, caring compassionate care staff who knew how to support them. Assessments and reviews took place that involved people. Care staff had received the appropriate training to ensure they were able to support people in line with the Equality Act(2010).
The provider had a complaints process in place to enable people to share any concerns.
The provider’s spot checks and audits were not consistently effective in identifying areas for improvement.
The provider enabled people to share their views by way of completing a questionnaire.