Background to this inspection
Updated
4 October 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to older people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 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 7 September 2022 and ended on 9 September 2022. We visited the location’s office on 7 September 2022.
What we did before the inspection
We reviewed information we had received about the service since it had registered with us, including notifications the provider had sent to us. We also gathered feedback from the local authority.
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. We used all of this information to plan our inspection.
During the inspection
During our inspection we spoke with eight people and seven relatives. We also spoke with the registered manager, deputy manager and four care staff. We looked at the care records for six people. We checked that the care they received matched the information in their records. We looked at records relating to the management of the service, including audits carried out within service.
Updated
4 October 2022
About the service
Edith Healthcare Wolverhampton Limited provides personal care to older people living in their own homes. There were 29 people using the service at the time of our inspection.
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
There was no system in place to monitor the calls people received including the times of these. People and relatives raised concerns to us about this. People's medicines were not individually recorded on records. The systems in place had not identified these concerns.
People were not always supported by regular care staff and they were not always aware of who would be offering the support. People and relatives raised concerns that staff did not always know how to support them.
Individual risks to people were considered. People were protected from potential harm when concerns had been identified. Infection control procedures were followed. 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. There was some evidence that lessons were learnt when things went wrong.
People received support from staff who had received training. Staff’s suitability to work with people in their homes was checked before they started employment.
People were happy with the staff that supported them and found them to be caring. People’s privacy and dignity was considered and maintained. They were encouraged to make choices and remain independent.
People’s preferences including their likes and dislikes, were considered, and they received support based on these needs. Peoples’ communication was considered. There was a complaint policy in place, which was followed when needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 26 June 2020 and this is the first inspection.
Why we inspected
We received concerns in relation to the care people received, including the timing and length of calls. As a result, we carried out a comprehensive inspection. We have found evidence that the provider needs to make improvements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.