Background to this inspection
Updated
29 November 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 21 October 2016 and was unannounced. The inspection was carried out by one inspector.
Before the inspection we looked at all the information we hold about the service. These included notifications that we had received from the provider and communications with people’s relatives and other professionals.
During the visit we spoke with two people who used the service, two members of staff and the registered manager. We also reviewed four care files, four staff files, and documents such as the providers' recruitment and safeguarding policies.
Updated
29 November 2016
This unannounced inspection took place on 21 October 2016. At our last inspection on 16 December 2015, we found that the provider breached regulations because people’s personal care and support records were not up-to-date. We found that there were not enough staff at all times and this could put people at risk of not receiving care and support they needed. We also found the provider's policies, procedures and documents were not always maintained and readily available. Following this inspection, the provider sent us an action plan to tell us the improvements they were going to make.
Mr Chinonso Kalu - t/a Affinia Healthcare is a domiciliary care agency providing a service to people living in supported living accommodation in the London Borough of Havering. At the time of the inspection there were 26 people using the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
During this inspection, we saw that improvements such as increasing the staffing level and updating the care plans were made. People told us that they were safe within the service. We noted the service had enough staff who were appropriately recruited, trained and supervised. People told us they were happy with the way staff treated them. They told us staff were always available when they needed support with personal care or medicine administration.
Risk assessments and care plans were completed and reviewed for people. People, their relatives and staff were involved in the review of care plans and we noted that each person's care plan reflected their assessed needs and contained guidance for staff on how to support them. People took part in various activities, which they told us that they enjoyed.
There was a good management arrangement in place. Policies and procedures were updated and made available to staff and regular staff meetings took place. The registered manager sought people's views about the quality of the service and, where needed, made improvements. People were also confident that the registered manager would deal with their complaints.