Background to this inspection
Updated
23 October 2018
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 announced inspection took place on 7 September 2018. We gave the service three days’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Prior to the inspection we checked the information that we held about the service, including any notifications. Notifications are for certain changes, events and incidents affecting the service or the people who use it that providers are required to notify us about.
One inspector carried out the inspection. During our inspection, we looked at two people’s care records. This included their care plans, risk assessments and daily notes. We reviewed two staff personnel files. This included their recruitment, training, and supervision records. We spoke with two care staff, the registered manager, and a director who was involved in the day to day management of the service.
Following the inspection, we spoke with two people who used the service and one health care professional.
Updated
23 October 2018
This announced inspection took place on 7 September 2018. The service was previously inspected on 10 November 2015 where it was found to be good in all Key Questions and good overall.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The service is registered with the CQC to provide a service to older adults some of whom might be living with dementia and younger adults who have learning disabilities or autistic spectrum disorder, physical disability, sensory impairment or mental health and require care and support.
Not everyone using Recruitcare Professionals Ltd receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection two people were receiving the regulated activity of personal care.
At this inspection we found that the service remained good in all Key Questions and good overall.
People spoke positively about the service they received describing the staff and the registered manager as kind and friendly. They found the service was flexible and responsive to their changing requirements and described staff as punctual in attending their calls.
The registered manager was very knowledgeable about the people using the service and often worked alongside staff to provide care. They used these opportunities to check people were happy with the service they received and acted as a role model to staff demonstrating good practice.
The registered manager assessed people prior to offering a service to ensure they could meet their support needs and with their involvement produced person centred care plans. They assessed the risks to people and put in place guidance for staff to mitigate those risks.
The provider worked in line with the Mental Capacity Act 2005 and obtained people’s consent before providing care. People told us staff respected their decisions.
Staff were recruited in a safe manner and received induction training prior to commencing their role. The provider ensured further training was available to staff to update their knowledge and to encourage them to progress in the field of health and social care.
Staff received medicines administration training and care plans stated what support people required. Staff monitored people’s wellbeing and liaised with health services on their behalf. They prepared people’s meals to their cultural requirements and reminded people to drink enough to remain hydrated.
The registered manager had an oversight of the service. They monitored records and spoke with people to ensure that all safeguarding concerns were identified and reported appropriately. They undertook checks and audits to ensure the service provision was of a good quality. When they identified mistakes or near misses they shared their learning with the staff team.
The registered manager and directors of the company had a vision of offering compassionate care to people living in the community. They were passionate about valuing their staff and supporting them to reach their potential. They kept their own learning updated and attended health and social care forums to remain informed about changes of legislation and good practice.