Updated 7 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The Inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.
Service and service type:
55 Bowstock Road is a Domiciliary Care and Supported Living Service that is registered to provide care for people within their own homes. People using the service are younger adults, some with a learning disability or autism. Some have a physical disability or mental health concerns. Twenty people were using the service at the time of the inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
What we did:
Inspection site visit activity started on 09 May 2019 and ended on 10 May 2019. We visited the office location on 09 May 2019 to see the manager and office staff; and to review care records and policies and procedures. The expert by experience made telephone calls to people using the service on 10 May 2019.
We reviewed information we had received about the service since they were registered with us. This included details about incidents the provider must notify us about, such as allegations of abuse and we sought feedback from the local authority and other professionals who work with the service. We used all this information to plan our inspection.
We spoke with four people that used the service and six relatives to gather their views on the service being delivered. We also spoke with the registered manager, a senior manager and four staff members. We used this information to form part of our judgement.
We looked at two people’s care records to see how their care and treatment was planned and delivered. Other records looked at included three recruitment files to check suitable staff members were recruited and received appropriate training. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service. Details are in the ‘Key Questions’ below.