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Archived: KIDS South East

Overall: Requires improvement read more about inspection ratings

c/o KIDS Nursery, Shakespeare Road, Basingstoke, RG24 9BP (01329) 312312

Provided and run by:
Kids

Latest inspection summary

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Background to this inspection

Updated 14 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One inspector and one expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. In this instance for children and young people.

Service and service type:

KIDS Smile Centre is a domiciliary care agency. It provides personal care to children and young people using the service. Not everyone using KIDS Smile Centre receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service did not have a manager registered with the Care Quality Commission. A registered manager is legally responsible for how the service is run and for the quality and safety of the care provided. An acting manager was in post who told us they would be applying to become the registered manager.

Notice of inspection:

This inspection was announced. We gave the provider 24 hours’ notice of the inspection site visit to ensure that the registered manager would be present, and to ensure people’s consent was gained for us to contact them for their feedback.

Inspection site visit activity started on 29 April 2019 and ended on 30 April 2019. We visited the office location to see the manager and office staff; and to review care records and policies and procedures.

What we did:

Prior to the inspection we reviewed all the information we held about the service including notifications received by the Commission. A notification is information about important events which the service is required to tell us about by law. We reviewed the last provider information return. This is information we request to provide some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with one young person and seven parents. We spoke with the acting manager, a care coordinator and two members of staff.

We reviewed records related to the care of four people. We reviewed recruitment files for four staff. We looked at records relating to the management of the service, policies and procedures, quality assurance documentation and supervision documentation.

We asked for further information following the inspection including an updated statement of purpose and a copy of a support plan and risk assessment both of which were received.

Overall inspection

Requires improvement

Updated 14 June 2019

About the service: KIDS Smile Centre is a short breaks service for children and young people with disabilities up to the age of 25. This involves supporting them in activities in their home or within the community and with some personal care. At the time of the inspection the service was supporting 12 children or young people.

People’s experience of using this service:

People did not always receive a service that provided them with safe, effective and high-quality

care and were not always provided with support that was personalised to them. Despite this, parents of children and young people were happy being supported by KIDS Smile Centre and parents told us they felt their child or young person was safe. People were supported by staff who were kind and caring.

The provider lacked effective governance systems to identify concerns in the service and drive the necessary improvement. At times there was a lack of clear and accurate records regarding people’s support and any potential risks to them. Accidents and incidents were not always analysed sufficiently to ensure risks were reduced for people.

Parents of children and young people felt able to speak to the management team if they had any concerns. Young people’s human rights were upheld, and care staff understood the principles of the Mental Capacity Act 2005.

Staff were not always supported with regular supervision or appraisal however, staff told us they felt well supported by the registered manager and had enough training to undertake their roles effectively.

Parents of children and young people felt they did not know the registered manager and felt communication with the office could sometimes be difficult.

The acting manager demonstrated a willingness to make improvements.

Rating at last inspection: Good (Report published 30 December 2016)

Why we inspected: This was a planned inspection based on our last rating.

Follow up:

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and made three recommendations.

We will request an action plan from the registered provider about how they plan to improve the rating to good and in addition, we will monitor all information received about the service to understand any risks that may arise and to ensure the next planned inspection is scheduled accordingly.

You can see what action we told the provider to take at the back of the full version of the report.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk