Background to this inspection
Updated
12 October 2022
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 Health and Social Care Act 2008.
Inspection team
This 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
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 03 August 2022 and ended on 10 August 2022. We visited the location’s office on 04 August 2022.
What we did before the inspection
We reviewed information we had received about the service since the registration. We sought feedback from the local authority and professionals who work with the service. We sought feedback from service users and relatives. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service and seven relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, senior care workers and care workers.
We reviewed a range of records. This included eight people’s care records and multiple 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.
Updated
12 October 2022
About the service
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Green Arrow is a domiciliary care agency providing the regulated activity personal care to people in their own homes. At the time of our inspection there were 46 people using the service living with a mixture of health conditions such as diabetes, Parkinson’s and dementia. 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 45 people were receiving support with the regulated activity.
People’s experience of using this service and what we found
People were supported in a person-centred way that was responsive to their needs. People told us Green Arrow had supported them in such a positive way it meant their quality of life had greatly improved. People were supported to meet other service users and follow hobbies and avoid isolation.
People were supported by kind and caring members of staff. We were told staff respected people’s privacy and treated them with dignity.
People were kept safe from the risk of harm by staff that had been safely recruited. Staff supported people with their medicines and ensured they had enough to eat and drink.
Staff and people felt supported by the registered manager who was keen to work with other professionals and ensured people had access to health professionals in a timely way.
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.
Right Support: The model of care maximised people’s choice, control and independence.
Right Care: Care was person-centred and promoted people’s dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 19 May 2021 and this is the first inspection.
Why we inspected
This inspection was to provide a rating for the newly registered service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.