Caring Hands (Wiltshire)

Updated 20 March 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 was planned to check 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 was a comprehensive inspection which took place on 15 February 2018. The inspection was unannounced.

The inspection was completed by one inspector. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed previous inspection reports and other information we had received about the service, including notifications. Notifications are information about specific important events the service is legally required to send us.

During the visit we spoke with three people who use the service, one member of care staff, the deputy in charge and the registered provider. We spent time observing the way staff interacted with people and looked at records relating to the support and decision making for five people. We also looked at records about the management of the service and four staff files.

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Updated 20 March 2018

Caring Hands (Wiltshire) is a small care home for up to seven people. At the time of our inspection five people were resident at the service. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The registered provider is an individual who is in day to day charge of the home and was present throughout the inspection. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated regulations about how the service is run.

At our last inspection 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.

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At this inspection we found the service remained Good.

Staff demonstrated a good understanding of how to protect people from avoidable harm and abuse. Care plans contained risk assessments and in the majority of cases when risks were identified, the plans informed staff how to reduce them. People said they felt safe living at the service.

People’s needs were assessed and regularly reviewed. Staff were well trained and said they felt supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People spoke highly of the staff. We saw and heard many positive interactions between staff and people.

Care plans were personalised. People had access to a range of activities.

There was an open positive culture and the vision and values of the service were embedded. People spoke highly of the provider. Quality assurance was monitored; however, there was limited documentary evidence of this.

Further information is in the detailed findings below.