Background to this inspection
Updated
28 September 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. 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 carried out 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
This inspection was unannounced.
Inspection activity started on 20 August 2019 and ended on 5 September 2019. We visited the office location on 20 and 28 August 2019.
What we did before the inspection
The provider was not asked to complete an up to date 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.
The law requires providers to notify us of certain events that happen during the running of a service. We reviewed notifications received since the last inspection as well as the previous inspection report.
We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager and three staff. We looked at support plans and associated records for two people. We also looked at a range of records, including three staff recruitment files and quality assurance audits.
After the inspection
We spoke with one person and two relatives of people using the service.
Updated
28 September 2019
About the service
Spectrum Continuing Care CIC is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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 this inspection they were providing a personal care service to nine people with a variety of care needs living in the Southampton area.
People’s experience of using this service and what we found
We found some information was missing from staff recruitment files for staff who were recruited before the registered manager was registered. The registered manager took immediate action to rectify this. The registered manager was aware of the duty of candour and what this meant for them in practice. The culture of the service ensured people were at the centre of how the service was run.
People told us they felt safe with staff who visited them. The provider had policies and procedures in place designed to protect people from the risk of suffering harm and abuse. Risk assessments were in place which identified possible risks to people living in their own homes. People’s needs were met by suitable numbers of staff.
People’s needs were assessed before the service started to support them, to ensure their needs could be met. People were supported by staff who were trained to meet their individual needs, including personal care and support with eating and drinking. The service worked with other agencies to improve the care and support they offered to people.
Staff asked people for their consent before supporting them with their personal care.
People felt they were supported well by the staff team, who respected their choices and decisions. People were supported by trained staff who respected and promoted their privacy and dignity.
People were involved in planning and reviewing their care which meant support plans were specific to their needs. People’s communication needs were identified within their support plans. The provider had a complaints procedure in place which had been given to people using the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was good (published March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.