Clayfields Business Centre

Updated 11 November 2022

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people and staff.

Inspection team

This inspection was carried 1 inspector and 1 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

We gave short notice of the inspection in order for the registered manager to provide us with the documentation we needed to look at. Inspection activity started on 4th October 2022 and ended on 26th October 2022.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. We reviewed information we had received about the service since it was registered. The provider did not complete the required Provider Information Return (PIR). This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make.

We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, 5 people using the service, 5 relatives and 4 staff members. We reviewed a range of records. This included 7 people’s care records. We looked at 3 staff files. We reviewed a variety of records relating to the management of the service, including audits, policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 11 November 2022

About the service

Clayfields Business Centre is a domiciliary care agency providing support for people in their own homes. Not everyone using 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. The service was supporting around 80 people at the time of the inspection.

People's experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support:

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.

Right Care:

People's care was personalised and enabled them to achieve good outcomes. Risks to people's safety were assessed and monitored and people had personalised risk assessments in place.

Right Culture:

People were encouraged to share their views and develop and improve the service. The quality of support provided was evaluated regularly.

Staff received safeguarding training and understood their responsibilities to report potential safeguarding concerns to the registered manager. Risks to people's health, safety and wellbeing were assessed and formed part of a needs assessment. This information was used to develop care plans and guide staff on how to manage those risks. Systems were in place to ensure the safe recruitment of staff. This included references and Disclosure and Barring Service (DBS) checks. Staff received training in medicine administration and their competency was assessed. Only staff assessed as competent could support people with their medicines. Staff understood and followed safe infection control guidelines and knew how to minimise risks of infection.

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.

We received positive feedback from people about Clayfields Business Centre. People felt well cared for and looked after. The provider used audits to monitor and improve the quality and safety of care. Surveys were used to gather feedback from staff and people about the service. The results were analysed and used to make changes in response. The provider and staff worked with other health and social care professionals to improve people's outcomes, and ensure people received care and treatment that was relevant to their changing needs and circumstances.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 31 October 2019). We found breaches of regulation 12 and 17.

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.