Selborne Care DCA

Updated 3 November 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 checked 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 inspection took place on 28 September 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure they would at their office to facilitate our inspection.

The inspection was carried out by one inspector.

Before the inspection, we reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law. We also asked commissioning teams from local authorities for any information they had, which would aid our inspection. The local authority has responsibility for funding some people’s care and monitoring their safety and quality.

The provider had sent us a Provider Information Pack [PIR] before the inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

At the time of our inspection, the service was providing personal care for six people who used the service. We undertook telephone interviews with people and relatives where we could to gauge their impression on the quality of care provided. We spoke with three relatives. We were unable to speak with any people who used the service.

At the office, we reviewed two people’s care records and other records on how the domiciliary care agency was managed. This included medication administration records, personnel and recruitment records, and quality assurance checks.

As part of the inspection, we spoke with the locality manager, the compliance manager, the manager, a care coordinator and six care staff.

Updated 3 November 2018

Selborne Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of our inspection the provider was providing personal care for six people all of whom lived in Worcester.

Not everyone using Selborne Care Limited receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’, help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the last inspection on 2 February 2016, the service was rated 'Good.' At this inspection we found evidence continued to support the overall rating of 'Good.' There is no evidence or information from our inspection and ongoing monitoring that demonstrates serious risk 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.

This inspection took place on 28 September 2018.

People continued to received care which protected them from harm and abuse. Staff and management were aware of their responsibilities to keep people safe. Risks to people’s safety were identified and known to staff. Measures were in place to reduce risks. Staff worked in small teams with people to provide consistent care. The provider operated safe recruitment practices to assist keeping people safe.

People were able to access healthcare professionals and their medicines were administered in line with what was prescribed. People received meals in line with their personal likes and any medical requirements.

Staff received training to meet people’s needs and had knowledge to be able to meet health and social care needs as described within their care plan and risk assessment. Staff assured us they sought people’s consent prior to providing care and support.

People were supported by staff who knew them well and had built up professional relationships. People were encouraged to be involved in their care and to be as independent as possible. Staff had an awareness of how to ensure people’s privacy and dignity was maintained.

People continued to receive care and support which was individual to their own needs. Relatives felt able to raise any concerns they had about the care received by their family member. The management team promoted equality and diversity to ensure needs were met.

Staff were confident the service was well run and had managers available to them for support and guidance. Checks and audits were in place to monitor the quality of the service provided.

Further information is in the detailed findings below.