Background to this inspection
Updated
21 November 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. 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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 hour’s notice of the inspection visit. This was to enable us to make arrangements to speak with people and their relatives and to be sure the registered manager would be in the office to support the inspection.
Inspection activity started on 16 October 2019 when we visited the office location. Telephone calls were undertaken with people and their relatives on 23 October 2019.
What we did before the inspection.
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection-
We spoke with two people and one relative about their experiences of the care provided. We spoke with two care staff, and the registered manager, who is also the registered provider.
We reviewed a range of documents and records including the care records of three people, three staff files and training records. We also looked at records that related to the management and quality assurance of the service.
Updated
21 November 2019
About the service
Inspire You Care Ltd is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of the inspection the service supported five people with personal care.
People’s experience of using this service and what we found
Staff had not been recruited safely as the registered manager had not ensured all the required checks had been undertaken before staff commenced work at the service. These checks are required to ensure staff were suitable for their role. This was a breach of a regulation.
Staff had completed training before they had started working at this service with another provider. Assessments had not been undertaken on all staff to ensure they had the required skills and knowledge for their role.
People’s needs had been assessed before they started using the service, but the information and records completed was brief in detail which meant staff did not have access to detailed information to refer to. Risk assessments had not been considered in relation to the environment to ensure there were no hazards impacting on the delivery of care.
The systems to check the quality of the service provided for people were not consistently effective and required some improvement.
People were happy with the care provided and felt safe when being supported by staff. People confirmed they received support from a consistent and reliable team of staff. People received the support they needed to take their medicines. Staff were aware of how to keep people safe from potential risk of harm. Staff wore gloves and aprons to ensure they protected people from cross infection.
Staff monitored people’s wellbeing. 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.
People felt staff were caring, respectful and encouraged their independence, protected their privacy and treated them with dignity. People confirmed they were involved in their care and feedback was actively sought about the quality of the care being provided. Staff felt supported in their roles.
Rating at last inspection
The last rating for this service was ‘Inspected but not rated’ (published 18 April 2019). This was because the service was only delivering 5.5 hours of personal care, and we didn’t have enough evidence to accurately award a rating for each of the five key questions and therefore could not provide an overall rating for the service.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk