Background to this inspection
Updated
7 October 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
This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 a short period of 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 09/09/2021 and ended on 28/09/2021. We visited the office location on 09/09/2021.
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 used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with 12 members of staff including the Chief Executive Officer, Chief Compliance Officer and Managing Director, Operations Director, HR Director, Deputy Manager for Regulated Services, Quality Assurance & Compliance Administrator, the Registered Manager and five other members of the staff team.
We reviewed a range of records. This included six people’s care records and medication records. We looked at six 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 quality assurance records. We spoke with five professionals who regularly visit or work alongside the service.
Updated
7 October 2021
About the service
Redjacket Specialist Care (Salisbury) is a domiciliary care service providing personal care to 12 people aged over 18 and six children aged under 18 at the time of the inspection.
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.
People’s experience of using this service and what we found
People’s needs had been assessed and a care plan developed from this assessment as well as from specialist assessments from professional services. People and their relatives were involved in the development and review of their care plan.
People and their relatives were being supported by staff who had been well trained in adult and children’s safeguarding, staff knew how to recognise abuse and how to report it. The service had a robust process in place to effectively manage any safeguarding concerns and trained safeguarding investigating officers.
People’s risks had been identified and assessed. Guidance for staff on how to minimise those risks was robust.
Staff had been well trained in mandatory areas of knowledge as well as many specific and bespoke areas of training aligned to people’s needs. The training programme and schedule was comprehensive and on-going.
People were supported by staff who were committed, dedicated and passionate about their role. Staff thoroughly enjoyed their jobs, felt valued and very well supported by their managers and the provider.
People were supported by a core group of staff to give a consistent service and develop positive relationships. People were supported by an open and inclusive service which recognised equality and diversity and the importance of well-being and socialisation.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture
Right support:
• People and their relatives are involved in the assessment, care planning and review process to ensure they receive the most appropriate support to meet their needs.
Right care:
• The care provided is person-centred and promotes people’s dignity, privacy and human rights. People are treated as individuals and differences are valued and respected.
Right culture:
• The ethos and values of the senior management team demonstrated a positive, inclusive culture for the service which was fed down to the whole staff team.
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 20/05/2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on our inspection schedule.
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.