Archived: Wisdom Healthcare Limited

Updated 17 July 2015

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.

The inspection took place on the 22 January 2015 and was announced. The provider was given 48 hours’ notice because the location provides a care service to people in their own homes and we needed to be sure that someone would be available to facilitate the inspection.

We visited the provider’s office and met with the registered provider/manager. The service provided care and support to 27 people who lived in the community. We looked at records relating to the care and support of four people of these people. Following our visit we telephoned four people who used the service to ask them about the care and support they received.

We looked at the provider’s staff training plan and record of staff training. We looked at records relating to the recruitment of four staff members. We also looked at records of their induction training and supervision. We looked at records relating to quality monitoring of the service and at the log of complaints and compliments. Following our visit we spoke with four staff members over the telephone to gain their views of the service.

The provider had kept us updated of events by sending us relevant notifications. We had not received any significant safeguarding or whistleblowing alerts and had not received any recent complaints about the service.

Updated 17 July 2015

The inspection took place on 22 January 2015. The provider was given short notice of the visit. We had carried out a previous inspection on 13 June 2014 where it was identified that the provider needed to improve the way in which people received care and welfare and the way in which the provider monitored the quality of service provision. We found the provider had made some improvements to these areas but that there was still further improvement required.

Wisdom Healthcare Limited provides personal care and support to people living in the community. There is a registered manager in place for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

There were systems in place to help drive improvement but this system had failed to identify where medication had not been managed appropriately The quality monitoring system had also failed to identify areas for improvement following comments and suggestions from people who used the service.

People thought that the care they received was good but some people said that staff did not always arrive at their homes at the times they had agreed.

Some people felt that it was sometimes difficult to get to speak with someone if they had a concern or complaint and that the manager was not often accessible.

The Mental Capacity Act 2005 (MCA) is designed to protect people who can't make decisions for themselves or lack the mental capacity to do so. The provider followed the guidance of the MCA when people required support in the decision making process. People consented to their care and were involved in planning and reviewing their care and support

Staff had necessary checks carried out on them to ensure they were fit to work with adults and received training to help them meet people’s needs and keep people safe. Staff received support to carry out their job role and spot checks were carried out to ensure standards were maintained.

There were individual risk assessments in place to help keep people safe. People who used the service felt staff gave them safe care and support. Staff knew how to raise concerns about poor practice.

People who used the service felt that staff were kind, helpful and respectful towards them and treated them in a respectful way.