Advinia Homecare

Updated 9 June 2022

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 Health and Social Care Act 2008.

Inspection team

The service was inspected by two inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.

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 not a registered manager in post. However, a newly appointed manager was going through the process of completing their registration.

Notice of inspection

This inspection was announced. We gave the service 72 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.

Inspection activity started on 19 May 2022 and ended on 25 May 2022. We visited the location’s office on 19 May 2022 and telephone calls to people and families took place on 24 and 25 May 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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 this information to plan our inspection.

During the inspection

We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with the manager, the care delivery manager, three care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records, including four people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, quality audits and this included the review of policies and procedures.

After the inspection

The nominated individual sent us information we requested to validate evidence reflected in this report.

Updated 9 June 2022

About the service

Advinia Homecare is a domiciliary care agency. It provides personal care to people living in their own homes. These include older people, people living with dementia and people with a physical disability. At the time of the inspection there were 12 people 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

People told us staff arrived on time. One person told us, “The same lady comes every day, but we don’t have them on a Sunday, never missed a day, they call me and tell me if they are late. They recently made my time earlier, so it works better for me.”

People and their relatives told us they felt safe using the service. People were cared for by staff who knew how to keep them safe and protect them from avoidable harm.

Staff felt confident their training provided them with the knowledge they needed to support people safely.

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.

Staff had been safely recruited and we were satisfied that staffing levels ensured people’s care needs were met in a timely way.

People were supported to take their medicines safely. Incidents and accidents were reported, investigated and actions taken to prevent recurrence.

Care plans contained basic explanations of the control measures for staff to follow to keep people safe. The management team were in the process of reviewing all care plans with input from people using the service and their relatives to ensure staff understood where people required support to reduce the risk of harm.

Although systems were in place to monitor the quality and safety of the service provided, these were still being developed by the nominated individual and the management team. Going forward the provider needs to demonstrate developments are embedded and sustained within the service to drive improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was Good (published 10 October 2019)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We received concerns in relation to missed and late calls, and of people not receiving the correct number of staff to attend to their care and support needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service remains Good.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well - led sections of this full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Advinia Homecare on our website at www.cqc.org.uk.