Lapis Domiciliary Care

Updated 5 May 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 checked 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 16 and 17 of April 2018 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides care to people living in their own homes and we wanted to make sure staff would be available to speak with us.

The inspection was carried out by one inspector and one inspection manager.

Before our inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us. We also contacted two health and social care professionals for feedback on the delivery of care provided by the service but did not receive any responses.

Inspection activity started on 16 April 2018 and ended on 17 April 2018. We visited the office location on 16 April and spoke with the registered manager, director of care and care co-ordinator. We reviewed care records and documents central to people's health and well-being. These included care records relating to four people, recruitment records for four staff members, staff training records, policies and procedures and quality assurance audits. We also visited and spoke with four people in their own homes and three relatives to obtain feedback on the delivery of their care.

On the 17 April 2018 we had telephone conversations with four members of care staff.

The provider completed a Provider Information Return (PIR) on the 8 March 2018. This 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.

We last inspected the service in March 2016 and rated the service as Good. At this inspection the overall rating remains Good.

Updated 5 May 2018

The inspection took place on 16 and 17 April 2018 and was announced.

Lapis Domiciliary Care is a care agency. It provides personal care to people living in their own homes. The service is registered to provide care for people living with dementia, learning disabilities or autistic spectrum disorder, older and younger people and people living with a physical disability. At the time of this inspection the service provided care and support to 17 people.

The service had a registered manager. 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 because staff understood their role and responsibilities to keep them safe from harm. Staff had received training to deliver care safely and to an appropriate standard.

Staff had a good knowledge of the provider’s whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.

People were supported by staff that promoted their independence, respected their dignity and maintained their privacy.

Care plans reflected people's individual needs and preferences and were regularly reviewed to ensure that they continued to meet people's needs.

Risks to people had been assessed and reviewed regularly to ensure people’s individual needs were being met safely.

Recruitment processes were robust to make sure people were cared for by suitable staff. There were sufficient numbers of staff deployed to meet people’s needs and to keep them safe from harm.

Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.

There was an effective complaints system in place. People told us they were confident to raise any issues about their care and that they would be listened to and addressed.

People told us the service was well-led and managed by an effective and organised management team.

Systems were in place to monitor and improve the quality of the service provided.