Background to this inspection
Updated
14 September 2016
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 inspection took place on 16 August 2016 and was announced. The provider was given 48 hours’ notice because the location provides domiciliary care services; we needed to be sure that someone would be in. The inspection was undertaken by one inspector.
Before the inspection we looked at the information we held about the service. We looked at any statutory notifications we had received, which are notifications the provider must send us of certain events such as serious injuries. We considered this information when we planned our inspection.
During the inspection we spoke with one person who used the service. There was a registered manager in post however they were not available to speak with us at the time of the inspection. We spoke with a manager of the service and two members of staff. We reviewed a range of records about how the care was delivered for the person who received support from the service. We looked at how the domiciliary care agency was managed. These included one care record, two staff records and records relating to the management of the service such as audit checks.
Updated
14 September 2016
This inspection took place on 16 August 2016 and was announced. House of the Flame Lily provides personal care to people in their own homes. At the time of our inspection there was one person receiving support from the service. We last inspected the service in February 2014 and we found the provider was meeting the regulations.
There was a registered manager in post at the time of our inspection. 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 told us they were safe. Staff understood their responsibilities to protect people from harm and knew how to report any concerns about people’s safety. Staff were aware of risks to people’s health or well-being and clear guidance on how to keep people safe was available in their homes for staff to refer to. People received their medicines as prescribed and these were managed safely.
Appropriate recruitment checks were completed before staff started to work in people’s homes. Staff had the skills, knowledge and training to meet people’s care and health needs. Staff felt supported by the manager and had regular one to one and team meetings. People were supported to make their own choices and decisions about their care and health needs. Staff obtained consent from people and where appropriate, people’s capacity assessed. People were supported to meet their nutritional needs and they were supported to access appropriate healthcare professionals when required.
Staff were kind and caring. People’s needs were assessed and care records gave clear guidance on how people should be supported. Care plans were personalised to reflect people’s individual preferences. Changes in people’s needs were quickly identified and care amended to meet people’s changing needs. Systems were in place to ask people for their views about their care. Staff knew how to raise concerns on people’s behalf and the provider had processes in place to address complaints.
The service was well-led. Staff understood their roles and responsibilities. Systems were in place to monitor the service provided to ensure people received quality care.