Background to this inspection
Updated
21 April 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
The inspection and site visit took place on 20 March 2018 and was announced.
We gave the provider 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in.
The inspection was carried out by one inspector.
Prior to the inspection, we reviewed information we held about the service including statutory notifications sent to us by the registered manager about incidents and events at the service. A statutory notification is information about important events which the registered provider is required to send us by law. The provider submitted a Provider Information Return (PIR) before our inspection. This is a form that asks the provider for key information about the service, what the service does well and the improvements they plan to make.
During the inspection, we spoke with one member of care staff, an administrator and the nominated individual.
We reviewed two people’s care records, and two staff files including information on their recruitment, training, supervision and duty rosters. We looked at management records and audit reports.
We reviewed feedback received from people using the service and their relatives and health and social care professionals.
After the inspection, we spoke with two relatives of people using the service. This was because the two people had complex communication needs and were therefore unable to speak with us . We also spoke with the registered manager, as they were unavailable on the day of the inspection.
We received feedback from the local authority commissioning team to obtain further information about the service.
Updated
21 April 2018
This announced inspection took place on 20 March 2018.
First Floor Capital Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. First Floor Capital Ltd provides care to older people and younger adults. At the time of our inspection, two people were using the service.
This is the first inspection of the service since registration with the Care Quality Commission on 31 March 2017.
The service had a registered manager in post who was unavailable on the day of the 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 were happy with the service. Staff understood their responsibility to safeguard people from abuse. Staff knew how to identify and report any concerns about people’s well-being. The registered manager identified and reviewed risks to people’s safety and health. Staff knew how to provide care in a safe manner that minimised the risk of avoidable harm to people.
People received care and support when needed. Sufficiently skilled and suitably recruited staff delivered people’s care. People obtained support to take their prescribed medicines. Staff followed safe hygiene practices to prevent and control the risk of infection.
People’s care delivery met the requirements of current legislation and evidence based practice. Staff attended training, received supervision and had the support they required to enable them to carry out their roles.
People received the support they required to consent to care and treatment. Staff followed the legal requirements of the Mental Capacity Act 2005 when providing care and support to people.
People were supported to maintain a healthy nutritional intake and to access healthcare services.
Staff understood people’s needs and knew how they wanted their care to be delivered. People enjoyed positive caring relationships with the staff who supported them. Staff were kind and compassionate. They provided people’s care in a dignified and respectful manner. People took part in the planning and making decisions about their care and support.
People underwent an ongoing assessment and review of their care and support needs. Support plans were developed to provide guidance to staff about how to deliver care. Staff delivered people’s care as planned in line with their needs and preferences. People were encouraged to take part in activities and to be independent.
People using the service and their relatives had opportunities to share their views about the service. The registered manager used the feedback to develop the service. People knew how to make a complaint about unsafe work practices in their care delivery.
Staff spoke positively about the registered manager and the support they received to undertake their roles. Appropriate checks and audits resulted in improvements to the service and care delivery. Other agencies were involved in the developing of staff’s practice and care delivery.