Background to this inspection
Updated
20 September 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 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 visit was on 15 august 2018 and was unannounced. It was completed by one 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. At the time of the inspection six people were supported by the service.
We checked the information we held about the service and the provider. This included notifications that the provider had sent to us about incidents at the service and information that we had received from the public. We used this information to formulate our inspection plan.
We also used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We spoke with three people who used the service. We also spoke with two members of care staff, the team leader, two domestic staff, and the registered manager.
We looked at the care records for three people to see if they were accurate and up to date. In addition, we looked at audits completed by the service, in relation to care plan reviews and medicine management to ensure the quality of the service was continuously monitored and reviewed to drive improvement. We also looked at recruitment records for three staff.
Updated
20 September 2018
The inspection took place on 15 August 2018 and was unannounced.
This service provides care to people living in the flats and apartments on site within the Richmond Village Complex to enable people to live independently, with support available. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, six people were receiving personal care as part of their care package.
Richmond Domiciliary Care service had a registered manager in post. 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 felt safe within their home and supported by staff who understood the importance of ensuring people’s safety. When required risk assessments had been completed to cover people’s care and their environment. People received support from consistent staff who had the appropriate recruitment checks. Staff handled medicine safely and understood the importance of reducing any risk of infection.
The latest guidance was available to support staff to understand specific conditions. Staff had received an induction and ongoing training for their role. Some people had support to enable them to join social groups.
People remained in control of their health care, however staff were available to support when needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were positive about the relationships they had made with the staff members and felt that made all the difference. Respect and dignity had been maintained along with supporting people to remain as independent as they were able to be.
There was a flexible approach to meeting people’s needs which could be altered when changes occurred. The care plans were detailed and included information in relation to people’s equality needs and information access. No complaints had been received to this service.
The service was supported by a registered manager who understand the regulations and ensured we received notifications and information in relation to these. People’s views had been obtained through regular reviews of their care.
A range of audits had been used in relation to care plans and medicines management. Staff felt supported and enjoyed working for this provider. Partnerships were being developed to establish links with health and social care professionals, along with community based activities.