Background to this inspection
Updated
24 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
This service provides personal care and nursing to people who require end of life support in their own homes.
The service had a manager who was 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:
Inspection activity started on 22 March 2019 and ended on 26 March 2019. On 22 March 2019 we visited the office location to see the registered manager and to review care records and policies and procedures. On 26 March 2019, we contacted and received feedback from two staff members, one relative and one health care professional.
What we did:
Before the inspection, we reviewed the Provider Information Return (PIR) submitted by the provider as part of our Provider Information Collection. Providers are required to send us key information about their service, what they do well, and improvements plan to make. This information helps support our inspections. We also reviewed other information we held about the service including previous inspection reports and information about important events that the service is legally required to submit to CQC.
During the inspection we looked at four people’s care plan’s and associated records relating to their care. We also looked at records relating to staff development and recruitment, as well as records of accidents, incidents and complaints and the audits and quality assurance reports of the service.
Updated
24 April 2019
About the service:
Reevey Gate Cottage provides personal and nursing care to people who require end of life care in their own homes. At the time of the inspection there was one person using the service.
People’s experience of using this service:
• People received safe and effective care which enabled them to live in their own homes.
• People’s relatives praised the care staff and spoke positively about the care their family member received. They told us staff were both professional and caring. Relatives also commented that staff provided them with emotional support and advice when supporting people who required end of life care and support.
• The care people received was flexible and personalised to their needs. They had been fully involved in their initial assessment and decisions about their care.
• Relatives felt involved in the care of their loved ones and spoke positively about the communication from the service and the relationships they had with staff.
• Staff were responsive to changes in people’s needs and worked closely with other health care professionals when further support or advice was required. Health care professionals commented on the caring manner and professionalism of staff.
• Staff were trained and supported to carry out their role. They had received additional training in subjects relating to good end of life care practices. Staff meetings enabled staff to reflect on their practices, share information and keep themselves informed.
• Relatives were confident that their views or concerns would be listened to and acted on.
• The registered manager and care coordinators knew people well and had a good understanding of the quality of service provided.
• However improvement was needed in the recording of the monitoring actions they undertook to ensure the quality of the service was being sustained and that regulatory requirements were met. This would assist the registered manager to have an audit trail of their monitoring of the service and the actions taken to address shortfalls.
• The registered manager took prompt action to review recording of their monitoring systems; more time was needed to ensure records relating to the management of the service would always be available.
Rating at last inspection: Good (Last report was published on 7 September 2016).
Why we inspected: We inspected this service as part of our ongoing Adult Social Care inspection programme. This was a planned inspection based on the previous Good rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk