Background to this inspection
Updated
5 December 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. 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 Care Act 2014.
Inspection team
The inspection team consisted of one 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.
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 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
Inspection activity started on 19 November 2019 and ended on 20 November 2019. We visited the office location on 19 November 2019 to see the registered manager; and to review care records and policies and procedures.
What we did before the inspection
We completed our planning tool and reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people supported by the service.
We checked to see if any information concerning the care and welfare of people supported by the service had been received. We also sought feedback from professionals who work with the agency.
Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three relatives. We spoke with five members of staff including the provider, registered manager and three support workers.
We reviewed a range of records. These included the care records of three people, staff training records, arrangements for staff recruitment, supervision and appraisal, medication procedures and records relating to the management of the service.
Updated
5 December 2019
Senior Moments Care is a domiciliary care service providing personal care and support to 14 people living within their own homes at the time of inspection. Not everyone who used the service received personal care. 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 were protected from the risk of abuse and avoidable harm by staff who understood how to recognise and respond to concerns. Risks were well managed and people felt safe. Staff were recruited safely and people were happy with the management of their visits. People were happy with arrangements in place to support them with their medicines. Safe infection control measures were in place to protect people from harm.
People's needs were assessed, and care and support had been planned proactively and in partnership with them. People were happy with the support they received with meal preparation. Staff were suitably trained and received regular supervisions and felt well supported. 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 service and said staff were kind and caring. People were treated with dignity and respect and were fully involved in their care planning and delivery. People's right to privacy was upheld. The registered manager provided people with information about local advocacy services, to ensure they could access support to express their views if they needed to.
The service was flexible and care packages were changed and adapted to meet people's changing needs and choices. People’s communication needs had been assessed and where support was required these had been met. People knew how to complain, and any complaints received were fully investigated and subsequent action was taken.
The registered manager worked in partnership with a variety of agencies to ensure people received coordinated care which met their needs. People were happy with how the service was managed. Staff felt well supported by the registered manager. The registered manager and provider completed regular audits and checks, which ensured appropriate levels of quality and safety were maintained at the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 29 November 2018 and this is the first inspection.
Why we inspected
This was the services first planned inspection.
Follow up:
The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.