Rossycare Ltd

Updated 18 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.

The inspection of Rossycare Limited took place between the 2 and 4 October 2018 and was announced. We gave notice of the inspection visit because the location provides a domiciliary care service to people living in their own homes and we wanted to make sure someone would be available to speak with us. We visited the office location on the 2 October 2018. On the 3 and 4 October 2018 we made telephone calls to gain people’s views on the service. The inspection was carried out by one inspector.

Prior to our inspection, we reviewed the information the provider had sent us in the ‘Provider Information Return’ (PIR). The PIR is information we require registered providers to send us, at least annually, to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the information we held about the service, such as statutory notifications. Notifications are the events happening in the service that the provider is required to tell us about. We used the intelligence we held about the service to plan what areas we were going to focus on during our inspection.

During our inspection, we spoke with three people using the service, the registered manager and provider. We received feedback from five members of care staff and one health care professional.

We looked at a range of records including three people’s care plans and three staff recruitment and support records. We also looked at the arrangements for managing incidents and accidents, staff training records, rostering information, complaints and compliments and quality assurance information.

Updated 18 October 2018

At our previous inspection undertaken on the 23, 31 August and 8 September 2017, we found breaches of regulatory requirements. These related to Regulation 17 (Good governance) and Regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service received an overall rating of ‘requires improvement’. Following our last inspection, we asked the provider to complete an action plan to show what they would do and by when to ensure regulatory requirements were met. You can read the full report from our last inspection by selecting the ‘All reports’ link for Rossycare Limited on our website at www.cqc.org.uk.

During this inspection in October 2018, we checked the actions and improvements the provider told us they would make to achieve and maintain compliance with the fundamental standards under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found improvements had been made and the overall rating for the service was ‘good’.

Rossycare Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of our inspection, fifteen people were using the service, of which three people were in hospital.

The service had a registered manager who was also an owner of the business. 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 told us they felt safe receiving care from the service. People received care and treatment that was planned and delivered in a way that was intended to ensure people’s safety and welfare. Safe recruitment processes were in place, including appropriate checks, to ensure staff were suitable for their roles. Staff were trained in recognising abuse and how to report any concerns. There were enough staff to meet the needs of people. There were effective infection control practices in place to mitigate the risk of the spread of infection.

Newly appointed staff received an induction to the service and received on-going training, supervision and support to enable them to effectively fulfil their roles and responsibilities. Staff understood the principles of the Mental Capacity Act 2005 (MCA) and supported people to have maximum choice and control over their lives. The policies and procedures in the service support this practice. Where required, people were supported to meet their nutritional needs.

Staff were kind and caring and people were treated with dignity and respect. People’s independence was promoted and they were encouraged to do as much as they could for themselves. People and, where appropriate, relatives were involved in the care planning process. Care plans provided clear guidance to staff on how people wished to be supported.

There was an effective complaints system in place. People’s views on the quality of the service were encouraged to support continuous improvements. Where end of life care was provided, this was done in a compassionate way.

People and staff thought the service was well run. Staff felt valued and enjoyed working at the service. The registered manager promoted a positive, transparent and open culture. There were effective quality monitoring systems in place to help drive improvements.

Further information is in the detailed findings below.