Background to this inspection
Updated
14 August 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 the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
Inspection activity started on 24 June 2019 and ended on 2 July 2019.
What we did before the inspection
We reviewed information we had received about the service. This included statutory notifications that the provider had sent us. A statutory notification is information about important events which the provider is required to send us by law. We sought feedback from the local authority and other professionals who work with the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
We visited the office location on 24 June 2019 to see the registered manager, review care records and policies and procedures and to speak to staff. We made calls to people, their relatives and staff on 02 July 2019.
During the inspection we spoke with six people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including registered manager.
We reviewed a range of records. This included four people’s care records and medication records. We looked at four staff files in relation to recruitment, and staff supervision. A variety of records relating to the management of the service, including the training records for all staff, policies and procedures were reviewed.
Updated
14 August 2019
About the service
Sevacare Hinckley is a domiciliary care agency who are registered to offer support to adults with a variety of needs including people with a sensory impairment, people with physical disabilities, people living with dementia and younger and older adults.
Sevacare Hinckley provides personal care to people living in their own homes. 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.
At the time of our inspection, 160 people were receiving personal care.
People’s experience of using this service and what we found
Improvements were required to recording information within medicine administration records, daily notes and skin integrity forms. The registered manager was implementing new systems to improve this practice.
People were not always told who was coming to support them when a change in staffing occurred. This made some people feel anxious. The registered manager agreed to implement a system to ensure people were told before staff arrived.
People and their relatives told us staff delivered care in a safe way. The provider had systems in place to protect people from the risk of harm. Risk’s associated with people’s care were identified and assessed.
People were involved in developing their plans of care and were supported by staff who were appropriately inducted and trained. People were supported to eat and drink what they had chosen.
Care plans were person centred which supported staff to understand individual needs and tailor their support to the way the person liked.
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 were supported by the registered manager and understood their roles and responsibilities. All staff had an enhanced Disclosure and Barring Service (DBS) check, and had references given before they started to work with people.
People thought the staff were friendly and kind and had built good relationships with them. People felt respected by staff who encouraged their independence.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
At the last inspection the service was rated Good. (Report published 24 November 2016)
Why we inspected
This was a planned inspection based on the previous rating.
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.