Updated 9 May 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 carried out this inspection.
Service and service type:
GN Wellsprings provides a domiciliary care service to people in their own homes. CQC regulates the personal care provided.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was announced. The registered manager, who was also the provider, was
given 48 hours' notice because they provide care and support to people in their own homes. We needed to be sure that someone would be available at the office to speak with us.
Inspection site visit activity started on 18 April 2019 and was concluded on 25 April 2019. On 18 April 2019 we visited the office location to speak with the registered manager and to review care records and policies and procedures. On 24 and 25 April 2019 we spoke with relatives of those who received support with personal care and the care staff who provided that support.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as potential abuse, information from the public such as share your experience forms, whistle blowing concerns and information shared with us by local commissioners (who commission services of care). We had not asked the provider to complete a Provider Information Return. A PIR is information providers send us to give us key information about the service, what it does well and improvements they plan to make. We therefore gave the provider an opportunity to share with us the improvements they had made since the last inspection visit. We took this into account in making our judgements in this report.
During our inspection office visit we spoke with the registered manager and a business administrator. We reviewed a range of records including three people's care records, medication records and records relating to the management of the service. These included systems for managing any complaints and the provider’s checks on the quality of care provided that assured them they delivered the best service they could. We also looked at systems to manage care calls and daily records to show staff arrived when needed and what support they provided.
Following our inspection office visit we contacted one person, four relatives and five care staff by telephone to get their experiences of what the service was like from their perspective. We were only able to speak with two relatives and two care staff.