Background to this inspection
Updated
13 January 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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 or registered manager would be in the office to support the inspection.
Inspection activity started on 22 December 2022 and ended on 03 January 2023. We visited the location’s office on 22 December 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with seven people who use the service and one relative about their experience of the care provided. We spoke with and received feedback from seven members of staff including the registered manager, deputy manager, care planner and care staff. We spoke with two health professionals who work with the service.
We reviewed a range of records. This included three people's care records. We looked at three staff files in relation to recruitment, induction and training. A variety of records relating to people’s capacity to consent to care were reviewed.
Updated
13 January 2023
About the service
Wisteria Care is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults and younger disabled adults. At the time of the inspection the service supported 99 people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
Improvements had been made. The service was now working within the principles of the Mental Capacity Act 2005. People were supported to make individual decisions. Where they lacked capacity, the service ensured those important to them were involved and acted in their best interest.
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.
Staff supported people to access specialist health and social care support in the community when required.
Right Care
Care plans reflected a good understanding of people’s needs. This included their needs, abilities and preferences. Training and refresher courses helped staff continuously apply best practice. This included training in how to support people with a learning disability and autistic people. Staff encouraged people to eat a healthy and varied diet to help them to stay well.
Right Culture
People and those important to them, including advocates, were involved in planning their care. People received good quality care and support because trained staff could meet their needs and wishes.
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 27 October 2022).
Why we inspected
This was a focused inspection to see if the service had improved under the Effective domain. This domain was rated requires improvement in 2018 (published 16 May 2018). At this inspection we found improvements had been made.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wisteria Care on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.