Updated 26 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in specialist housing. It provides a service to younger adults with a learning disability or autistic spectrum disorder. Not everyone using Turning Point – Cambridgeshire and Peterborough receives the regulated activity; 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 take into account any wider social care provided.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because it is small and the manager may be out of the office supporting staff. We needed to be sure that they would be in.
Inspection site visit activity started on 31 January 2019 and ended on 7 February 2019. We visited the office location on 31 January 2019 to see the manager and office staff; and to review care records and policies and procedures. We visited people and spoke with them and staff on 7 February 2019.
What we did:
As part of the inspection, we reviewed the information available to us about the agency, such as the notifications that they had sent us. A notification is information about important events which the provider is required to send us by law. We also reviewed the provider information return (PIR) submitted to us before this inspection. This is information that the provider is required to send to us, which gives us some key information about the service and tells us what the service does well and any improvements they plan to make. We took this into account when we inspected the agency and made the judgements in this report. We also asked stakeholders, such as the local authority safeguarding team and commissioners for their views of the agency, although we received no comments.
During our inspection, we spoke with on person using the agency and observed interactions between staff and people at two other people’s homes. We also spoke with four members of care staff and the registered manager. We checked three people’s care records and medicines administration records (MARs). We checked records relating to how the agency is run and monitored, such as audits, accidents and incidents forms, staff recruitment, training and health and safety records.