Rising Care Services Ltd

Updated 27 August 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 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

This inspection was announced.

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.

Inspection activity started on 22 July 2022 and ended on 4 August 2022. We visited the location’s office on 26 and 27 July 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We also sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and eight relatives. We spoke with seven members of staff including the registered manager, care coordinator, administrator, one senior care worker and three care workers. We reviewed a range of records including people’s call times and care records. We looked at three recruitment files and a variety of records relating to the management of the service and policies and procedures.

Updated 27 August 2022

About the service

Rising Care Services Ltd is a domiciliary care agency providing personal care to people living in their own houses and flats. At the time of our inspection there were 33 people using the service.

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

Some improvements were needed to the quality and monitoring of the service and the mixed feedback we received from people and relatives, confirmed this. The service was responsive to the improvements identified and were committed to ensuring these made.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible and in their best interests; although the policies and systems in the service did not support always support this practice.

People were supported by care workers who were kind and caring. Overall, the feedback received about the approach care workers used was positive including how they promoted people’s independence.

People told us they received safe care and support. Care workers were aware of their responsibilities to protect people from abuse and avoidable harm. Risks to people's health and welfare were assessed and care workers had guidance of actions they needed to mitigate the risk of harm.

People’s care needs were assessed thoroughly. Care workers had guidance to provide care and support that was individual to each person.

Care workers received the required training and support to undertake their roles, had their competency assessed and were safely recruited.

People were supported to live healthier lives and care workers supported them to access healthcare services when required. The service worked closely with healthcare professionals to ensure good outcomes for people.

Robust infection prevention and control measures were in place. People’s medicines and nutritional and hydration needs were met safely.

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 17 June 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We made a recommendation about improvements to how complaints are recorded and responded to.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.