Care Field Isle of Wight

Updated 30 November 2021

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 completed by 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 48 hours’ notice of the inspection. This was 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.

Inspection activity started on 8 November 2021 and ended on 15 November 2021. We visited the office location on 9 November 2021.

What we did before the inspection

Before the inspection we reviewed the information we had received about the service, including notifications. Notifications are information about specific important events the service is legally required to send to us. We reviewed additional information previously received from the service. We sought feedback from the local authority and professionals who work with the service.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with the one person who used the service about their experience of the care provided. We spoke with one member of staff and the registered manager. We reviewed a range of records. This included the person’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, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service and two additional staff members.

Updated 30 November 2021

About the service

Care Field Isle of Wight is a domiciliary care agency registered to provide personal care for people who require this due to old age, illness or disability. 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 the inspection the agency was providing care for one person living on the Isle of Wight.

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

We identified some areas where improvements were required. These included, additional risk assessments in relation to people's specific needs were needed to help ensure the safety of people and staff, the completion of specific areas of training and the streamlining of paperwork, including care plans. Governance systems had not identified these areas of concern.

We recommend the registered manager and provider refers to current guidance and best practice to ensure that effective governance arrangements are in place to aid the expansion of the service.

Due to the size of the service CQC was unable to determine if the current systems and processes in place would be effective to ensure safe, response and effective care was provided should the service expand.

The person received care from a small consistent staff team who knew them well and understood their needs. There were safe recruitment procedures in place to ensure only suitable staff were employed.

Care plans included person-centred information and received the support they required, including appropriate support with the management of their medicines and dietary requirements.

The person was 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 supported the person to access healthcare professionals when they needed them and worked alongside social care professionals to ensure a joined-up approach to the person’s care.

The registered manager kept in regular contact with the person by visiting them in their home, checking if they were happy with the service they received and if any changes were needed.

The person and staff felt confident to raise any concerns or suggestions to the registered manager. Staff felt well support by the registered manager. The service worked well with other partners, organisations and commissioners.

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

Rating at last inspection

Care Field Isle of Wight registered with us on 30/09/2020 and this is the first inspection.

Why we inspected

This service had not been inspected since their registration in September 2020, therefore, this inspection was carried out to gain assurances about the quality of care and systems used to monitor and manage the 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.