Background to this inspection
Updated
2 October 2021
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 houses and flats.
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 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.
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 and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, care manager, care coordinator and care workers.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
2 October 2021
About the service
Clemence Rogers Home Care is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection, the service was providing 23 people with personal care.
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.
People’s experience of using this service and what we found
The provider had systems in place to safeguard people from the risk of abuse. Staff received training in safeguarding and knew what action to take if they suspected abuse.
People we spoke with told us staff arrived on time and never missed a call. Staff were recruited safely, and pre-employment checks were carried out.
The provider ensured staff wore Personal Protective Equipment (PPE), and were mindful about infection prevention and control. All people we spoke with told us staff wore PPE and left their home clean and tidy. Accidents and incidents were recorded, action taken to mitigate future incidents.
Risks associated with people's care were identified and managed in line with people's needs. People's medicines were managed safely. The provider ensured sufficient staff were available to support people in line with their assessed needs.
People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider ensured staff received appropriate training. Staff felt supported by their managers.
We found people had been referred to appropriate professionals when required to ensure their needs were met.
People we spoke with and their relatives were complementary about the care they or their family member received. People told us staff were very caring, kind and responded well to their needs.
Care plans were person centred and offered staff guidance about how to support people. Staff knew people well and assisted people to maintain their independence.
The provider had effective systems in place to monitor the quality of the service. This process helped identify issues and gave clear actions to rectify them in a timely way.
People we spoke with felt involved in the service and relatives felt they were communicated with well.
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 26 March 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.