Background to this inspection
Updated
19 July 2018
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.
This was a comprehensive inspection. The inspection took place on 10, 11 and 18 April 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we need to be sure the registered manager was there.
Inspection site visit activity started on 10 April and ended on 18 April 2018. It included visiting two people in their own homes and the agency office. We visited the office location on 10 and 11 April 2018 to see the registered manager and office staff and to review care records, policies and procedures. Inspection site visit activity started on 10 April and ended on 18 April 2018.
We reviewed the information sent to us in the provider information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Before this inspection we reviewed information we had about the service including notifications. A notification is a report about important events which the service is required to send us by law.
The inspection was carried out by two inspectors and we spoke with 24 people who used the service and two relatives by phone. We spoke with the two people in their home and two of their relatives when we visited them. We also spoke with the registered manager, the regional manager, two care coordinators, one team leader, two care workers and the payroll and invoices manager. We reviewed five care records for people who received personal care.
Updated
19 July 2018
Network Health and Social Care Dursley branch (part of the Network Healthcare Professionals Limited group) is a domiciliary care agency that provides care and support to people in their own homes. It provides a service to older adults and younger disabled adults. At the time of the inspection the service provided care and support for 150 people.
At our last inspection in October 2015 we rated the service Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
People were supported to maintain good health and be involved in decisions about their health. They were provided with personalised care and support. Staff had the knowledge and skills to carry out their roles and their training was updated annually. People were positive about the care they received.
Risks to people’s and staff safety were identified, assessed and appropriate action was taken. Staff had completed safeguarding adults training and knew how to keep people safe and report concerns. People’s medicines were safely managed. There were thorough recruitment checks completed to help ensure suitable staff were employed to care and support people.
People were encouraged to make choices about their care and support and to be as independent as possible. People were protected by staff having regard to the Mental Capacity Act 2005 (MCA). The MCA provides the legal framework to assess people’s capacity to make certain decisions.
Quality assurance procedures were used to monitor and improve the service for people and included them in developing their care and support. Feedback from people and their relatives or supporters was used to improve the service when their views were sought annually. Monitoring and auditing of systems had ensured action was taken when required. Regular staff and management meetings ensured concerns were discussed and changes were implemented when required.
Further information is in the detailed findings below.