Background to this inspection
Updated
15 September 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience.
An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced.
We gave the service 48 hours notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 8 August 2022 and ended on 22 August 2022. We visited the location’s office on 8 August 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We attempted to speak with people who used the service however none chose to provide feedback to us. This was partly due to people’s communication needs. We did speak with three relatives of people who used the service.
We spoke with three members of staff including the registered manager and two care workers. We reviewed three people’s care records, three staff files and a variety of records relating to the management of the service and policies and procedures.
Updated
15 September 2022
About the service
Case Healthcare is a small domiciliary care service providing personal care to people. The service provides support to people living in their own houses and flats. At the time of our inspection there were six people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Some improvement was needed to the oversight and day to day management of the service. The registered manager recognised this and was open and transparent about it. They had recruited additional resources to ensure prompt action would be taken.
People received an assessment of their needs prior to receiving care. Care plans and risk assessments were in place and people’s safety was safely managed. However, records required further detail to include people’s personal needs and wishes.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Relatives told us the service provided person centred care and care workers were kind, caring and compassionate.
People were protected from the risk of harm and abuse. Care workers were recruited safely, trained in safeguarding procedures and knew how to raise concerns.
There were enough staff to meet the needs of people using the service. Staff received an induction and ongoing training that enabled them to have the skills and knowledge to provide good care.
People were supported with their medicines and to eat and drink enough to meet their dietary needs. Care workers had been trained in medicines administration.
There were safe infection control procedures in place including enough supplies of personal protective equipment (PPE) for staff.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 17 June 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have made a recommendation about the quality and detail of records.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.