Background to this inspection
Updated
4 August 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 was 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 took place on 26 June 2018. This was an announced inspection, which meant the registered provider knew we would be visiting. We gave the provider 48 hours' notice. This was because it was a domiciliary care agency and we wanted to make sure that the registered manager, or someone who could act on their behalf, would be available to support us with our inspection. The inspection team consisted of one inspector and an expert by experience, who made telephone calls to people who used the service. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Before the inspection, we reviewed the information we held about the service and provider. The provider had completed and sent us a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, such as what the service does well and improvements they plan to make. We looked at any complaints we received and statutory notifications sent to us by the provider. A notification is information about important events which the provider is required to tell us about by law. We also looked at previous inspection reports and feedback from local commissioners on the quality of the service.
During the inspection, we spoke with the registered manager, the operations manager, who had overall responsibility for the service, two senior carers, a care coordinator, who managed staff rotas, and two care staff. We spoke with five people who used the service and six relatives.
We looked at 12 people’s care records and other records relating to the management of the service. This included 10 staff recruitment records, training documents, rotas, safeguarding concerns, complaints, quality monitoring and medicine records.
Updated
4 August 2018
This comprehensive inspection took place on 26 June 2018 and was announced. This was the first inspection since the provider moved to a new location on 9 June 2017.
Rosemont Care Limited is based in the London Borough of Barking and Dagenham. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults.
Not everyone using Rosemont Care receives regulated activity; the 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, 167 people were using the service, who received personal care. The provider employed 85 care staff, who visited people living in the local community. The service also provided short term 'reablement' care for people who were discharged from hospital and required support to help them become independent again.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered care homes, 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 had their individual risks assessed and staff were aware of how to manage these risks.
The provider had sufficient numbers of staff available to provide care and support to people during weekdays. However, some people did not receive a reliable and inconsistent service at weekends or in the evenings. The provider was taking action to ensure staff were recruited to fill these gaps.
Staff had been recruited following pre-employment checks such as criminal background checks, to ensure staff were safe to work with people.
Once recruited, staff received an induction, relevant training and were able to shadow experienced staff in order for them to carry out their roles effectively.
When required, staff prompted people to take their medicines and recorded this in daily logs. They had received training on how to do this. However, the management team had identified areas for staff to improve their performance in this area.
Incident records showed the provider took appropriate action following incidents. Systems were in place to analyse patterns and trends to ensure lessons were learnt and incidents were minimised.
The provider was compliant with the principles of the Mental Capacity Act 2005 (MCA) Staff had received supervision and training to ensure the service they provided to people was effective.
Staff told us that they received support and guidance from the registered manager and other senior staff. They received regular supervision and could approach the management team with any concerns they had.
People's care and support needs were assessed and reviewed regularly.
The provider worked with health professionals if there were concerns about people's health. People were registered with health care professionals, such as GPs and staff contacted them in emergencies.
People were supported to have their nutritional and hydration requirements met by staff, who provided them with meals and drinks of their choice, when they requested.
People were listened to by staff and were involved in their care and support planning.
People told us they were treated with dignity and respect when personal care was provided to them.
Care plans were person centred. They provided staff with sufficient information about each person’s individual preferences and how staff should meet these in order to obtain positive outcomes for each person.
Complaints about the service were responded to appropriately and within the provider’s timescales as set out in their complaints procedures.
The provider used technology, such as an online call system to ensure staff were monitored when providing care to people in the community.
The management team carried out regular monitoring checks on staff providing care in people’s homes. This ensured they followed the correct procedures and people received safe care.
Feedback was received from people and relatives to check they were satisfied with the service. The management team were committed to developing and improving the service.