Background to this inspection
Updated
14 October 2022
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
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 12 August and ended on 9 September 20022. We visited the provider’s office on 17 August 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and healthcare professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke in person with the registered manager and management team. We contacted 18 people and their relatives, 20 staff and two health care professionals, to get their experience and views about the care provided. We reviewed a range of records. This included ten people’s care and medicine records. We looked at eight staff files in relation to recruitment, training and staff supervision. We reviewed a variety of records relating to the management of the service, including audits, policies and procedures.
Updated
14 October 2022
About the service
London Care Raynes Park is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community, in six London Boroughs. At the time of the inspection the service was providing personal care for 151 people. The range of people the provider is registered to give support to includes care for older people, people with dementia, learning disabilities or autistic spectrum disorder, mental health, and physical disabilities.
The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People received a safe service and staff had a safe environment to work in. The provider had enough, appropriately recruited staff available to meet people’s needs. This meant people were supported to enjoy their lives in a safe way. The provider assessed and recorded risks to people and staff, and they monitored and updated them, as required. The provider reported, investigated and recorded accidents, incidents and safeguarding concerns, appropriately. Medicines were safely administered, by trained staff and people prompted to take their medicines, if required. Infection control procedures were followed.
The provider had an open, honest and positive culture with an identifiable management structure and leadership. There was a clearly defined vision and values that staff understood and followed. The provider identified areas of responsibility and accountability, that staff were enabled and prepared to take responsibility for. They were comfortable reporting any concerns they may have, in a timely fashion. The provider regularly contacted people and their relatives when reviewing the quality of the service provided and made changes to improve the care and support people received. This was in a way that best suited people. The provider established working partnerships that promoted people’s participation and reduced social isolation. Registration requirements were met.
People were supported to have maximum choice and control of their lives staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support 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 20 January 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service taking a focused inspection approach to review the key questions of Safe and Well-led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains Good. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for London Care Raynes Park on our website at www.cqc.org.uk.