Background to this inspection
Updated
23 July 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
The inspection team consisted one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 24 June 2019 and ended on 26 June 2019. We visited the office location on 25 June 2019.
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. 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 four people using the service and two relatives to ask about their experience of care. We spoke with the registered manager and the provider’s representative and three care staff.
We looked at three people's care records, multiple medication records and three staff recruitment files. We saw information relating to the quality and management of the service. This included minutes of staff meetings, complaints policies, compliments received, systems for managing complaints and incidents and surveys with people, to provide the registered manager with assurance people were receiving their care as assessed and planned.
Updated
23 July 2019
About the service
Evesham is a service providing personal care to people in their own homes. The service supports people with all types of needs. Ten people were in receipt of care at the time of the inspection.
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
People’s safety was promoted by staff who knew how to help them to manage risks they may experience. This was done in ways which considered people’s right to independence. People could rely on staff to give them the care planned. There were enough staff to care for people, who knew people’s safety needs well. People’s medicines were managed safely which helped them to maintain their health. Staff reflected on people’s care and safety needs and took learning from any concerns, so risks to people were further reduced.
People were supported by a consistent group of staff who were considerate and kind. People had built strong bonds with the staff caring for them, and knew staff were interested in their well-being. Staff encouraged people to make their own choices. People and relatives told us staff were respectful and care was provided sensitively by staff, so people’s dignity needs were met.
People were included in decisions about the care planned with them, which reflected their preferences, lifestyle choices and changing needs. This helped to ensure people’s care was provided in ways which led to good outcomes for people. People confident if they made suggestions about their care they would be listened to. People benefited from receiving a service where learning was taken from any incidents, and systems were in place to manage any complaints.
Staff used their knowledge and skills to care for people, and to meet their assessed needs. People were supported by staff to access help from other health and social care professionals, so they would enjoy the best well-being possible. People’s food and drink preferences were met. 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.
People, relatives and staff were complimentary about the way the service was managed, and how staff focused on people’s needs. The registered manager and provider checked the quality of the care provided and worked with people, relatives and other organisations to drive through improvements to people’s care.
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 23 May 2016 and this is the first inspection.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.