Archived: Wasdale Children's Resource Centre

Wasdale Children’s Resource Centre has not been previously inspected.

There was a registered manager in post. A registered manager is a person who has registered with the 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.

Both relatives told us they felt their family member was safe. There had been no safeguarding incidents to report since the service registered with the CQC. The registered manager was clear regarding what incidents they were required to report to the local authority safeguarding team and the CQC.

The service used permanent staff members from Wasdale children’s residential home to provide the domiciliary care support. Staff told us there were enough staff to meet people’s needs and they had sufficient time to deliver care. Appropriate recruitment procedures were in place.

In some care files, for people who had previously accessed the service, we found appropriate risk assessments were in place in relation to the domiciliary care service being provided. However, one person did not have a risk assessment to cover their needs. This is a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The provider did not have a medicines policy and procedure in relation to their domiciliary care service. This is a further breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Staff told us they had regular supervisions which they found useful. We recommend that the provider has a standing item on the supervision forms to discuss the domiciliary care service to ensure issues are not overlooked.

All mandatory training was kept up to date. We saw evidence this was the case for the permanent members of staff who provided the domiciliary care service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. All the staff members we spoke with understood the importance of respecting choices people made, and people’s right to refuse care and support.

The relatives we spoke with confirmed staff worked at a pace to suit their relatives and staff treated their family members with respect. The relatives we spoke with stated they either would speak to the manager or their relative's social worker if they needed to make a complaint but neither had had to make a complaint. We recommend that the provider considers the information provided in their statement of purpose regarding the services offered by Wasdale Children’s Resource Centre. There was no information regarding the complaints process to follow if a person wished to complain about the service regulated by the CQC.

Staff told us they felt supported in their role and that the management team listened to them. We saw regular team meetings were held in relation to all Wasdale Children’s Resource Centre services and where appropriate the domiciliary care service was discussed. We recommend that the provider has a standing item on the team meeting agenda to discuss the domiciliary care service to ensure issues are not overlooked.

We looked at the systems in place to assess and monitor the quality of the service. Although feedback from people had been obtained, issues had not always been addressed. We found there were no clear and effective systems in place to assess and monitor the quality of the service. The registered manager told us they were no dedicated audit processes in place to monitor the quality of the service provision in relation to the domiciliary care service. The registered manager had begun to address this issue at the end of the inspection.

These findings demonstrate a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can see what action we told the provider to take at the back of the full version of the report.