Background to this inspection
Updated
29 July 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 registered persons were 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.
The inspection was announced. The provider was given notice of our inspection visit because the location provides a domiciliary care service. We did this because the manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that they would be available to contribute to the inspection.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form the provider completes to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made the judgements in this report. We also reviewed other information that we held about the service such as notifications (events which happened in the service that the provider is required to tell us about) and information that had been sent to us by other agencies.
The inspection was conducted by a single inspector who visited the administration office of the service on 27 June 2016. Following this visit, our inspector telephoned people who used the service and their relatives, to seek their views about how well the service was meeting their needs.
During our inspection we spoke with three people who used the service, one relative, the manager, two care workers and two local healthcare professionals who had contact with the service. We looked at a range of documents and written records including two people’s care files, staff recruitment files and information relating to the administration of medicines and the auditing and monitoring of service provision.
Updated
29 July 2016
For You Healthcare Limited provides a personal care service to older people living in their own homes in the Market Deeping and Stamford areas of South Lincolnshire. The service was first registered in September 2014 and started operating in September 2015.
We inspected the service on 27 June 2016. The inspection was announced. At the time of our inspection 13 people were receiving a personal care service.
There was a registered manager in post. A registered manager (the ‘manager’) is a person who has registered with CQC to manage the service. Like registered providers (the ‘provider’), 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.
CQC is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and to report on what we find. Staff had received training in this area and demonstrated their understanding of how to support people who lacked the capacity to make some decisions for themselves.
The manager and staff knew every person who used the service and had established warm, friendly relationships with each of them. People’s individual care plans set out their needs and wishes in a high level of detail and were understood and followed by staff. Staff treated people with dignity and respect and encouraged them to maintain their independence. Staff had the knowledge and skills required to meet people’s individual needs effectively.
Staffing resources were managed carefully to ensure that staff had time to meet each person’s support needs and to interact with them socially. The provider had managed a recent period of short-staffing effectively, to ensure people continued to receive the care and support they required.
The manager service displayed an open and accountable management style which set the cultural tone in the service. Staff worked together in a friendly and supportive way. They enjoyed working for the provider and felt listened to by the manager.
The provider maintained a range of auditing and monitoring systems to ensure the care provided reflected people’s needs and preferences. The provider sought people’s opinions on the quality of the service and encouraged people to raise any concerns or suggestions directly with the manager.
The provider assessed any potential risks to people and staff and put preventive measures in place where required. Staff knew how to recognise and report any concerns to keep people safe from harm. People who needed staff assistance to take their medicines were supported safely and staff supported people to prepare food and drink of their choice.