Background to this inspection
Updated
17 June 2021
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 Care Act 2014.
Inspection team
This inspection was completed by one inspector.
Service and service type
Peepal care is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the CQC. 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.
Notice of inspection
This inspection was announced. We gave the service 48 hours' notice of the inspection visit because we needed to be sure the registered manager would be in.
Before the inspection
Before the inspection visit, we reviewed information we had received about the service since the last inspection. This included information about incidents the provider must notify us of, such as any allegations of abuse.
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 also reviewed the last inspection report and information we had received about improvements made.
During the inspection
We visited the office location on 14 May 2021 to see the registered manager. The trainer/consultant was also present virtually during the site visit. We also reviewed a range of records which included care records and staff files in relation to recruitment.
After the inspection
We telephoned people who received care from the service and relatives after the inspection. We spoke with one person and four relatives about their experiences of the service. We also spoke with four care workers.
We continued to seek clarification from the provider to validate evidence found. We looked at care plans, punctuality and attendance records, policies and quality assurance records.
Updated
17 June 2021
About the service
Peepal Care is a small domiciliary care agency registered to provide personal care to people in their own homes. The service mainly caters for the Gujarati community. At the time of the inspection, the service provided care to ten people. The Care Quality Commission (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
Feedback from one person who received care from the service and relatives we spoke with indicated that they were satisfied with the care provided by the service. They spoke positively about staff and the service and raised no concerns. They also told us the service was professional and well run.
Systems were in place to help ensure people were protected from the risk of abuse. There were appropriate policies in place.
Risk assessments were carried out to ensure people's needs could be met. Where risks were identified, there was guidance in place for staff to ensure that people were safe.
There were appropriate numbers of suitably skilled staff available to meet people's needs. Feedback indicated that care workers were punctual and stayed for the duration of their visit.
Appropriate infection control practices were in place.
Comprehensive recruitment processes were in place. The service carried out appropriate checks so only staff who were suitable to work with people using the service were employed.
The service had a system in place to obtain feedback from people about the quality of the service they received. This enabled the service to continuously monitor the effectiveness of the service. Quality assurance systems and processes included audits looking at key aspects of the service.
Rating at last inspection
The last rating for this service was Requires Improvement (published 3 September 2019).
Why we inspected
We previously carried out a comprehensive inspection of this service in August 2019. One breach of legal requirement was found. The provider completed an action plan after the last inspection to show what they would do and by when in relation to medicines management.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led.
The ratings from the previous comprehensive inspection for the key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk