Background to this inspection
Updated
18 December 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
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides assistance with all aspects of independent living and personal care to people who live in supported living settings and their own homes.
Notice of inspection
This inspection was announced. We gave a short period of notice of the inspection because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the 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. We asked the service to send us a range of records prior to the office visit. These included details of staff recruitment, training and support, policies and procedures, audits, care plan and risk assessments and details of how the service is monitored and reviewed.
We spoke with four staff and a family member of the person who used the service. The person who used the service was not easily able to respond in detail to specific questions.
We used all of this information to plan our inspection.
During the inspection-
We spoke with the registered manager. We reviewed further information about the running of the service, such as staff training and support, survey responses and compliments received.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
18 December 2020
About the service
Elizabeth House Newquay is a domiciliary service providing personal care for people in their own homes. At the time of this inspection the service was supporting one person with the regulated activity for personal care.
People’s experience of using this service and what we found.
Staff were caring and compassionate.
The service provided person centred care and support. A family member told us, "“They are really good. We plan a month in advance how we want to use our hours. They are very accommodating. We have a consistent team of staff and we meet any new staff before they come to us alone.”
The registered manager had a good understanding of equality issues and the person’s individual preferences.
Staff understood their roles and responsibilities in relation to ensuring the person’s safety. Staff were happy and motivated to provide the best care and support they could. They told us, "“I love my job” and “I was recommended to join this organisation. The manager is such a good ambassador for the service" and ”I really enjoy it."
Risks were identified, assessed and monitored and reviewed appropriately.
The person was supported to have 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.
The person’s care plan was accurate and provided staff with clear and detailed guidance to enable them to meet their needs in a person-centred way.
The person received their medicines as prescribed from staff who had received appropriate training.
Staff were recruited safely and there were sufficient staff to meet the person’s needs. One told us, “I have completed all my induction, done loads of training then I shadowed experienced staff, now I work on my own. I really enjoy it.”
Staff received appropriate training. Staff had the necessary knowledge and skills to meet the person’s needs.
The person was supported to access healthcare services when necessary.
There was a clear management structure and people were clear about their roles and responsibilities.
The registered manager had robust and effective oversight of all aspects of the running of the service.
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 25/01/2019 and this is the first inspection.
Why we inspected
This was the first planned inspection of this service.
Follow up
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.