22 January 2015
During a routine inspection
The inspection took place on 22 January 2015. The provider was given short notice of the visit. We had carried out a previous inspection on 13 June 2014 where it was identified that the provider needed to improve the way in which people received care and welfare and the way in which the provider monitored the quality of service provision. We found the provider had made some improvements to these areas but that there was still further improvement required.
Wisdom Healthcare Limited provides personal care and support to people living in the community. There is a registered manager in place for the service. 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.’
There were systems in place to help drive improvement but this system had failed to identify where medication had not been managed appropriately The quality monitoring system had also failed to identify areas for improvement following comments and suggestions from people who used the service.
People thought that the care they received was good but some people said that staff did not always arrive at their homes at the times they had agreed.
Some people felt that it was sometimes difficult to get to speak with someone if they had a concern or complaint and that the manager was not often accessible.
The Mental Capacity Act 2005 (MCA) is designed to protect people who can't make decisions for themselves or lack the mental capacity to do so. The provider followed the guidance of the MCA when people required support in the decision making process. People consented to their care and were involved in planning and reviewing their care and support
Staff had necessary checks carried out on them to ensure they were fit to work with adults and received training to help them meet people’s needs and keep people safe. Staff received support to carry out their job role and spot checks were carried out to ensure standards were maintained.
There were individual risk assessments in place to help keep people safe. People who used the service felt staff gave them safe care and support. Staff knew how to raise concerns about poor practice.
People who used the service felt that staff were kind, helpful and respectful towards them and treated them in a respectful way.