Background to this inspection
Updated
11 December 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 comprehensive inspection took place on 19 October 2018 and was announced. The provider was given 24 hours' notice because this is a small service and we wanted to ensure there was someone available to assist us with the inspection.
Before the inspection, we reviewed information we held about the service, which included notifications they had sent us. A notification is information about important events, which the provider is required to send us by law. We also contacted other professionals who work with the service and asked them for their views. We used this information to help us to plan the inspection.
We reviewed information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
The inspection was undertaken by one inspector. During the inspection, we spoke with three people who used the service, seven relatives, six care workers, the care coordinator, the field care supervisor, the administrator and the registered manager.
We looked at the records for four people who used the service and other information related to the running of and measuring the quality of the service. This included quality assurance audits, training information for care staff, client visit rotas, meeting minutes and arrangements for managing complaints.
Updated
11 December 2018
We conducted an announced inspection at Belvoir Home Care on 19 October 2018. Belvoir Home Care is a domiciliary care agency, which provides care to people living in their own homes. CQC regulates the care provided, which we looked at during this inspection. On the day of our inspection, Belvoir Home Care was providing care to 29 people.
A registered manager was present during the inspection. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection on 7 December 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.
People were supported by staff who understood the risks people could face and knew how to keep them safe. People were supported to minimise risk and promote their safety.
People were provided with their care and support when this was needed because there were enough staff to do so. People received the support they required to take their medicines at the time they needed these. People were being protected from infection because safe practices were being followed.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People were provided with the support they needed to have sufficient nutritional and fluid intake. Staff understood people’s healthcare needs and their role in supporting them with these.
People were cared for and supported by staff who respected them and maintained their privacy and dignity. Where possible people were involved in planning their own care.
People received care that met their needs and they were able to participate in meaningful interaction. People knew how to raise any complaints or concerns they had and felt confident that these would be dealt with. People approaching the end of their life were supported in a caring and sensitive way at that time.
People used a service that was responsive to their needs and views. They had confidence in the registered manager who was respected and supported by staff. There were systems in place to monitor the quality of the service and make improvements when needed.
Further information is in the detailed findings below.