Archived: Greenslade Services Limited

Updated 9 March 2016

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.

This inspection took place on 11 and 17 November 2015 and was announced. The provider was given 48 hours’ notice as the location is a domiciliary care service, and we required a senior member of staff to be available in the office, to provide us access to documentation.

The inspection was completed by one inspector. Prior to the inspection information was gathered and reviewed. We looked at the PIR (Provider Information Return), this is information sent to us by the provider, local authority reports and notifications. Notifications are sent to the Care Quality Commission to inform us of any significant events that are related to the service.

We spoke with four members of staff and three people who use the service, as part of the inspection process.

Care plans, records related to health and risk assessments were viewed for seven people. In addition we saw records related to the management of the service. This included, staff files, training matrix, recruitment documents and staff supervision records for four of the regular staff team. We also saw records relating to the management of the service, for example, complaints, quality assurance assessments development plans and audits plans.

Updated 9 March 2016

This inspection was carried out on 11 and 17 November 2015. Greenslade Services Limited is a domiciliary care service (DCS). A DCS is an establishment that provides specific hours of care and support to a person within their own home. This inspection was announced so as to ensure that someone would be in the office during our visit.

The registered manager had recently been appointed into post. 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.

People were kept safe by appropriately trained and competent staff. Sufficient numbers of staff were involved in delivering the care packages of individual people. Staff were matched with people in accordance with needs, knowledge, age, hobbies and general personality. Systems were employed by the service to recruit suitable staff to work with people. Staff were trained in how to keep people safe by being aware and observant for signs of abuse, and how to report concerns promptly.

We were told by people and their relatives that they were happy with the service that they were receiving. The staff were caring in their manner, and ensured that they maintained the person’s dignity at all times. Care plans were reflective of how support needed to be delivered incorporating the views of the person and their family. Six monthly reviews of care plans involved people and their families, where appropriate.

People were supported with their medicines by competent and suitably trained staff. Medicines were managed safely and securely. Medicines administration records (MAR sheets) illustrated correct administration and were audited weekly.

Those individuals who were unable to make specific decisions related to their care and support had their legal rights protected. The care plans showed that when decisions had been made for people about their care, where they lacked capacity, these were done in their best interest.

The service was audited and monitored by the management on a continual basis. Weekly and monthly internal audits, feedback from people sought every quarter during spot checks and bi-annual quality assurance audits enabled the service to develop action plans. New action plans were being introduced by management to continually improve the service.

We found evidence of compliments and complaints that highlighted how the management worked transparently.