Archived: 11 Crosfield Road

Updated 12 February 2020

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

This inspection was carried out by one inspector.

Service and service type

The service is provides treatment of disease, disorder and injury which includes personal care to people living in their own homes.

The service had two managers 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 the service is small and people are often out and we wanted to be sure there would be people available to speak with us.

What we did before the inspection

We reviewed information we had received about the service since it’s initial registration. We sought feedback from the local authority who work with the service. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. 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.

During the inspection

We spoke with seven people and one relative of a person who used the service. We spoke with eight members of staff including the provider, registered manager and care workers.

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

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and records relating to the overall management of the service.

Updated 12 February 2020

About the service

NFC Health and Social Care, 11 Crosfield Road is a service that provides Treatment of Disease, Disorder or Injury (TDDI) along with personal care.

They currently provide and manage their service from 90 Lugsmore Lane, St Helens, Merseyside, WA10 3DL but this location is not yet registered with the CQC. This is the location that we visited for the purpose of our inspection. The registered provider moved premises prior to this inspection and they have notified CQC of the move taking place.

Not everyone who used the service received the service of Treatment of Disease, Disorder or Injury (TDDI). CQC only inspects where people receive TDDI and personal care. This is help with tasks related to personal hygiene and eating. At the time of this inspection 30 people were using the service. Not all people were in receipt of TDDI but were in receipt of personal care.

People’s experience of using this service and what we found

We have made a recommendation about the assessment of risk to people. Although risks to people had been identified, risk assessments did not always contain all of the information considered to mitigate risk when meeting people’s needs

We have made a recommendation about the current system in place for reviewing the quality and safety of the service. Although checks were taking place, the systems in use had not always identified where further information was required or in need of review in people’s care planning documents.

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 did support this practice.

Positive comments were made by people about the service and staff who delivered their care and support. They told us that staff were caring and respected their privacy and dignity.

People felt safe using the service and were protected from abuse and the risk of abuse. Procedures were in place for the safe management of medicines. Safe recruitment practices were followed. Infection control procedures were in place to minimise the risk of the spread of infection.

People's needs and choices were assessed prior to receiving support from the service. People received care and support from experienced staff who received training and supported for their role. People were supported to have a nutritious and balanced diet when required as part of their care plan.

People were supported by staff who knew them well and were aware of who to speak to if they were not happy about the service they had received.

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

This service was registered with us on 14/12/2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.