Background to this inspection
Updated
12 July 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.’
This announced inspection occurred on 1 June 2018.The provider was given 48 hours’ notice because the location provides a service to people in their own homes and in the community and we needed to be sure that someone would be at the office. The inspection was undertaken by one adult social care inspector.
Before the inspection we looked at the information we held about this service. This included the provider information return (PIR) and notifications we had received from the provider since the last inspection. We also contacted the local authority to gain their feedback about the service. We contacted social care professionals who had contact with the service and received feedback from one social worker.
During the inspection we spent time with the multisite manager and with the locality manager. We looked at documentation relating to people who used the service, staff and the management of the service. This took place in the office. We looked at two people’s written records, including their plans of their care. The personnel files for three staff members, along with some policies and procedures and quality assurance records.
At the time of the inspection the service was providing personal care to two people. Both had specific communication needs and were unable to engage with us by telephone. As part of the inspection we spoke with the close relatives of both people, by telephone to gain their views of the service. We also interviewed two support staff by telephone.
Updated
12 July 2018
Craegmoor Supporting You in the North East is an agency providing support for community activities and some personal care to people with learning disabilities who live in their own homes. They provide the support to people who live in Rotherham and surrounding areas. Not everyone using Craegmoor Supporting You in the North East receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’. This means help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
This comprehensive inspection took place on 1 June 2018. We gave the service 48 hours’ notice of the inspection visit because we needed to be sure that someone would be at the office. At the last inspection in April 2016 the service was rated Good. You can read the report from our last inspections, by selecting the 'all reports' link for ‘Craegmoor Supporting You in the North East’ on our website at www.cqc.org.uk.
Before the inspection we sent out questionnaires to people who the service, staff, relatives and friends, and community professionals to ask what they thought about the service. We received two completed questionnaires back, and these indicated a high level of satisfaction with the service.
At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our rating of the service has not changed since our last inspection.
There was no registered manager. However, the registered provider had arranged for one of their multisite managers, who had an existing registration with CQC, to manage the service. They had commenced the process of applying to CQC to add Craegmoor Supporting You in the North East to their registration. 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 we spoke with felt safe using the service. We saw that the service was particularly person centred and that risks were well managed. People were safely supported with their medicines. There was a procedure in place to ensure any safeguarding concerns were addressed and reported. There were sufficient numbers of staff to meet people’s needs and it was evident that staff had been safely recruited.
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 the service supported this practice. The service supported people to maintain a healthy diet and people who required the involvement of health care professionals were assisted to obtain this. Staff told us they enjoyed working at the service and had received support, training and supervision to help them to carry out their support role effectively.
People told us the support team were very caring. They said they treated people with respect and dignity, and staff supported them in a way which met their needs. People and their relatives had been involved in formulating support plans.
The service continued to ensure that people’s needs were assessed and support was planned and delivered in line with their individual support plans. People’s plans clearly identified their individual preferences and the areas in which they needed support. It was also evident that staff worked hard to provide people with the support they needed to have a good lifestyle that suited their individual and cultural needs and aspirations. The service continued to ensure that there was an effective and accessible complaints procedure.
The registered provider continued to ensure there was an effective system to monitor the quality of service delivery and of staff performance. People, and those who were important to them, were routinely consulted about their satisfaction in the service they received. It was evident that people’s comments and ideas were used to develop and improve the service. It was also evident that the team worked well in partnership with other professionals, to provide a person centred service that met people’s needs.
Further information is in the detailed findings below