Updated 21 January 2020
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 the inspection.
Service and service type:
Rangeford Care Wadswick Green is a domiciliary care agency. People receive a personal care service in their own home.
Not everyone using Rangeford Care 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 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 site visit was announced and started on 22 November 2019. We gave short notice of the inspection because we wanted to be sure a senior member of staff was available to support the inspection.
What we did before the inspection
We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as serious incidents. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service and one relative about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, assistant manager, senior care workers and care workers. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. These included five people's care and medication records, five staff recruitment files and training and supervision records. We reviewed records relating to the management of the service. We reviewed how the provider and the registered manager completed their quality assurance checks.
After the inspection we telephoned four people who used the service, six relatives and emailed two members of staff to gain their view on how the service was managed and care delivered. You can see what they told us in the main body of the report.
We obtained feedback from one health professional to obtain their views about the service. We have included their views and feedback in the main body of the report.