Background to this inspection
Updated
1 February 2023
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 using the service and staff.
Inspection team
This inspection was carried out by 1 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The provider was given 15 hours’ notice of the inspection. 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 20 December 2021 and ended on 28 December 2022.
What we did before the inspection
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.
During the inspection
This performance review and assessment was carried out without a visit to the location's office. We used technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation. Due to the registered manager being on leave, we spoke with the director of care. We looked at 1 care plan and risk assessment, recruitment records, quality audits, daily records and training records.
After the inspection, we spoke with 2 staff and 1 relative. We also spoke with the person who was being supported by the service. We reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records, safeguarding records.
Updated
1 February 2023
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.
About the service
Temp37 Healthcare Ltd is a domiciliary care agency providing personal care and support to people living in their own homes. The service is registered to support older people with dementia, people with a learning disability or autistic people and children. At the time of this inspection there was 1 person using the service. 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
Right Support:
Staff supported people to be involved in maintaining their own health and wellbeing where possible with the support from their relative. Staff communicated with people in a way that met their needs. We found that the plan was lacking specific details around a person’s communication style and did not have the information and guidance recorded for staff. We have recommended the provider review people’s communication care plans so that these met their needs.
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 needs were appropriately assessed before they started using the service. The provider worked with people’s relatives and healthcare professionals when required. Care was person-centred and promoted people's dignity, privacy and human rights. Staff understood how to protect people from poor care and abuse. Staff were appropriately trained on how to recognise and report abuse and safeguarding concerns. Care records contained risk assessments with clear guidance for staff to follow. Staff were recruited safely.
Right Culture:
A relative spoke positively about the management team and staff. People received good quality care by trained staff. Staff understood the persons needs in relation to their strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This enabled people to receive compassionate and empowering care that was tailored to their needs. Staff knew and understood people well.
Rating at last inspection
This service was registered with us on 29 August 2017 and this is their first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.