7 June 2016
During a routine inspection
Second 2 None Healthcare Limited (Doncaster) provides personal care and support to people in their own homes in Doncaster area. On the day of our inspection there were 56 people using the service.
There was a manager in place who was in the process of registering with CQC. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the
Health and Social Care Act and associated Regulations about how the service is run.
There were systems in place that ensured people received their care on time and people were kept safe and their needs were met. Safeguarding adult's procedures were robust and staff understood how to safeguard the people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. The service had systems in place to manage accidents and incidents whilst trying to reduce reoccurrence.
Most medicine records showed that people were receiving their medicines as prescribed by health care professionals. Although not all records had been signed. This was in the process of being addressed by the manager.
There were enough staff on duty to meet people's needs.
The provider conducted appropriate recruitment checks before staff started work to ensure staff were suitable and fit to support people using the service.
Staff training was up to date. Staff received supervision, appraisals and training appropriate to meet people's needs and enable them to carry out their roles effectively. There were processes in place to ensure staff new to the service were inducted into the service appropriately.
The registered manager and staff understood the Mental Capacity Act 2005 (MCA) and acted according to legislation.
People were involved in their care planning and the care and support they received. People were treated with kindness and compassion and people's privacy and dignity was respected. Staff respected their wishes and met their needs.
Support plans and risk assessments provided information for staff on how to support people using the service with their needs. Support plans were not always reflective of people's individual care needs and preferences yet were reviewed on a regular basis.
People's care files were kept both in people's home and electronically in the office. People were supported to be independent where possible such as attending to some aspects of their own personal care.
People and their relatives knew about the home's complaints procedure and said they believed their complaints would be investigated and action taken if necessary.
There were processes in place to monitor the quality of the service and the manager recognised the importance of regularly monitoring the quality of the service provided. People and their relatives were provided with opportunities to provide feedback about the service.