Background to this inspection
Updated
19 September 2019
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
The inspection team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and 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 with one person who used the service and two relatives about their experience of the care provided. We spoke with three members of staff including the provider and care workers. We reviewed a range of records. This included one person’s care records and medication records. We looked at one staff file in relation to recruitment. A variety of records relating to the management of the service we also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with two professionals who visit the service.
Updated
19 September 2019
About the service
Revelation 22 Care provides personal care to older people and people with physical disabilities in their own homes. At the time of the inspection there were seven people receiving support from the service.
People’s experience of using this service and what we found
People were supported to remain safe by staff who were knowledgeable about the different types of abuse and how to report concerns. People had risk assessments in place which enabled staff to reduce the potential risk of harm.
People were supported to receive their medicines safely. People were supported to maintain a balanced diet and had access to health professionals when they needed them. People were involved in decisions regarding their care and their independence was encouraged by staff.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by staff who were knew them well and understood their backgrounds and preferences. This enabled people to develop strong relationships with the people who supported them. People were involved in planning and reviewing their care along with those who were important to them. This ensured care was person centred and needs led.
People were supported by safely recruited staff. Staff had training which enabled them to support people effectively. People felt able to speak to staff and the provider and knew how to complain. The service acted on feedback to continuously improve the care they provided.
The provider monitored the quality of the service and took action, where required to minimise risks to people. This enabled the service to learn lessons where things went wrong.
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 22 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.