Updated 29 December 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by 1 Inspector and an 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 homes.
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 the service 24 hours’ notice of the inspection site visit. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 28 November 2023 and ended on 8 December 2023. We visited the location’s office on 28 November 2023.
What we did before the inspection
We reviewed the information we already held about the service, this included their last inspection report and notifications. A notification is information about incidents or events that providers are required to inform us about. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection.
During the inspection, we spoke with the nominated individual, registered manager and the deputy manager. We reviewed documents and records that related to people’s care and the management of the service.
We reviewed 5 staff files, which included pre-employment checks and 5 care plans which included peoples support needs and risk assessments. We looked at other documents such as quality assurance records.
We also spoke with 4 people, 4 relatives of people who used the service and 3 staff members.