Background to this inspection
Updated
11 September 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 CQC. 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 72 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 17 July and ended on 24 July 2019. We visited the office location on 17 July 2019.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the clinical commissioning group who works with the service. We used the information the provider sent us in the provider information return. 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 looked at three people’s care records and three medication administration records. We looked at three staff recruitment, induction, training and supervision records. We viewed a range of records relating to the management of the service including audits and accident and incidents records.
We visited three people who used the service and two relatives. We spoke with another three relatives over the telephone to ask about their experience of the care provided. We spoke with the registered manager, deputy manager and three care staff.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and competency records.
Updated
11 September 2019
About the service
Tadcaster Enterprise Park is a domiciliary care service providing personal care. The service was supporting 13 people at the time of our inspection, including those living with dementia, physical disability, older people and younger adults.
Not everyone who used the service received personal care. The Care Quality Commission (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 not notified CQC of service user deaths. This was a breach in regulation and will be considered outside of the inspection process.
People’s safety was supported. Staff were aware of risks to people and how to reduce these. People were supported to take their medicines as prescribed.
Staff worked effectively as a team to ensure people received consistent care that met their needs. Staff worked with people’s relatives and healthcare professionals to monitor people’s health and help people to lead healthier lives.
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 were very caring in their approach. People formed close relationships with them. They valued how staff supported their privacy and dignity, helping them to feel confident and comfortable with their care. People received emotional support when needed. Staff worked in discrete and sensitive ways, respecting people’s family lives.
Care was provided in person-centred ways, considering people’s preferences. People valued the interaction with staff, supporting their wellbeing and reducing their social isolation. Staff looked for opportunities to help people pursue their interests in ways that were accessible to them. People’s end of life care wishes were considered; relatives commented on the skilful, sensitive care provided at this difficult time.
People, relatives and staff had the opportunity to engage in the running of the service. The provider was committed to providing effective care and enabling people to live in their own homes. This was reflected in people’s experiences of their care. The registered manager used quality assurance checks to ensure standards were maintained and improved on in the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 29 September 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on when the service was registered.
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.