Background to this inspection
Updated
19 January 2017
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 inspection took place on 15 and 16 December 2016 and was announced.
The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.’
The inspection team consisted of one inspector.
We reviewed information we held about the service. We looked at our own system to see if we had received any concerns or compliments about the provider. We analysed information on statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send us by law.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information in our planning.
We spoke with five people, six relatives, five care staff members and the registered manager. We looked at the care and support plans for two people, records of quality checks, resident and relative’s surveys, accident and incidents records and medicine administration. We also looked at records relating to the safe recruitment of staff.
Updated
19 January 2017
This inspection took place on 15 and 16 December 2016 and was announced.
Allied healthcare Shrewsbury provides personal care and support to people living in their own homes. At this inspection they were providing personal care for 79 people.
A registered manager was in post and present at this inspection. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were safe from the risks of abuse as staff had been trained and knew how to recognise and respond to signs of abuse or ill-treatment. People were involved in their individual assessments of risk associated with their care. Staff knew what actions to take in order to minimise the potential for harm to people. The provider followed safe recruitment practices with staff members before they started working with people. The provider had systems in place to address any unsafe staff practice including retraining and disciplinary processes if needed.
People were supported by enough staff to safely meet their needs. People were supported at times that suited their individual preferences. People were confident that staff would arrive at times they had agreed. People received help with their medicines from staff who were trained to safely support them.
People received care and support from staff members who had the skills and knowledge to meet their individual needs. Any new staff members received an induction to their role and were equipped with the skills they needed to work with people. Staff attended training that was relevant to the people they supported and any additional training needed to meet people’s requirements was provided.
People’s privacy and dignity was promoted by staff members who supported them. People were supported to access to healthcare when they needed. Any changes to people’s needs were responded to promptly by staff members. People received support and guidance to eat and drink sufficient amounts to maintain good health.
People’s rights were maintained by staff members who were aware of current guidance and legislation directing their work. People were involved in decisions about their care and had information they needed in a way they understood.
People had positive relationships with the staff members who supported them. People’s likes and dislikes were known by staff who assisted them in a way which was personal to them. People were confident that information personal to them was kept confidential and only shared with their permission.
Staff members were supported by a management team who they found approachable and who valued their thoughts and opinions. The provider undertook regular quality checks in order to drive improvements. The provider engaged people and their families and encouraged feedback. People felt confident they were listened to and their views were valued.