Archived: Second 2 None Healthcare Limited (Doncaster)

Updated 20 July 2016

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 was 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.

The inspection took place on 7 June 2016 and we gave the provider 48 hours' notice as we needed to be sure that the manager and staff would be available to assist in the inspection. The inspection was carried out by one adult social care inspector.

Before the inspection we looked at all the information we had about the service. This information included statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We also spoke with the local authority who commissioned the service to obtain their views.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form which asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

As part of our inspection we spoke with six people who received support from the service, two relatives, four care staff and the manager. We reviewed the care records of 10 people receiving support. We also looked at service records including staff recruitment, supervision and training, policies and procedures, records of complaints and compliments and checks that had been completed.

Updated 20 July 2016

This inspection took place on 7 June 2016. We gave the provider 48 hours' notice we would be visiting to ensure the manager would be at the service.

Second 2 None Healthcare Limited (Doncaster) provides personal care and support to people in their own homes in Doncaster area. On the day of our inspection there were 56 people using the service.

There was a manager in place who was in the process of registering with CQC. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the

Health and Social Care Act and associated Regulations about how the service is run.

There were systems in place that ensured people received their care on time and people were kept safe and their needs were met. Safeguarding adult's procedures were robust and staff understood how to safeguard the people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. The service had systems in place to manage accidents and incidents whilst trying to reduce reoccurrence.

Most medicine records showed that people were receiving their medicines as prescribed by health care professionals. Although not all records had been signed. This was in the process of being addressed by the manager.

There were enough staff on duty to meet people's needs.

The provider conducted appropriate recruitment checks before staff started work to ensure staff were suitable and fit to support people using the service.

Staff training was up to date. Staff received supervision, appraisals and training appropriate to meet people's needs and enable them to carry out their roles effectively. There were processes in place to ensure staff new to the service were inducted into the service appropriately.

The registered manager and staff understood the Mental Capacity Act 2005 (MCA) and acted according to legislation.

People were involved in their care planning and the care and support they received. People were treated with kindness and compassion and people's privacy and dignity was respected. Staff respected their wishes and met their needs.

Support plans and risk assessments provided information for staff on how to support people using the service with their needs. Support plans were not always reflective of people's individual care needs and preferences yet were reviewed on a regular basis.

People's care files were kept both in people's home and electronically in the office. People were supported to be independent where possible such as attending to some aspects of their own personal care.

People and their relatives knew about the home's complaints procedure and said they believed their complaints would be investigated and action taken if necessary.

There were processes in place to monitor the quality of the service and the manager recognised the importance of regularly monitoring the quality of the service provided. People and their relatives were provided with opportunities to provide feedback about the service.