Background to this inspection
Updated
29 July 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 carried out by two inspectors and an Expert by Experience who spoke with people and relatives of people using the service by telephone. 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.
The service had a manager registered with the Care Quality Commission. 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
We gave the service a short period 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 11 May 2021. We spoke with people and relatives of people using the service on 18 May 2021. We visited the office location on 10 June 2021. The other days were spent reviewing records and speaking with staff.
What we did before the inspection
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 used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager and the administrator. We reviewed a range of records. This included five people’s care and one person’s medicine records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with five people using the service and five relatives of people using the service. We also spoke with three care staff. We continued to seek clarification from the registered manager to validate evidence found.
Updated
29 July 2021
About the service
Pristine Recruitment is a domiciliary care agency providing the regulated activity of personal care to people living in their own homes. At the time of the inspection the service was supporting 15 people.
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
Following the last inspection, two recommendations had been made in relation to recruitment processes and risk management. The service had implemented the required improvements.
Recruitment checks were complete and adequately assessed staff suitability to work with vulnerable adults.
People received their medicines safely and as prescribed by care staff who had been trained and assessed as competent to administer medicines.
Risk assessments and management plans had been compiled to ensure people were supported to remain safe and free from harm. Staff knew the people they supported well and described their risks and how to support them.
People and relatives told us they felt safe and confident with the care and support that they received from their care worker. Care staff had received training on how to recognise abuse and the processes to follow to report their concerns.
Care staff had access to the required personal protective equipment (PPE), information and guidance to prevent and control the spread of infection.
People and relatives spoke positively about the management of the service, the quality of care delivery and the registered manager who they found to be responsive and accommodating.
Care staff felt supported and valued in their role.
The registered manager ensured systems and processes were in place to monitor the quality of care people received and ensure where issues were identified these were addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was good (published 03 February 2018). At the last inspection we had made two recommendations relating to assessing risk and recruitment processes. This meant that the key question of safe was rated as requires improvement. At this inspection we found improvements had been made.
Why we inspected
This was a planned inspection based on the previous rating.
We undertook this focused inspection to check that the provider had implemented the recommendations made and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe and Well-led which contain those recommendations.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The rating of the key question of safe as improved to good. The overall rating for the service has remained as 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 Pristine Recruitment 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 re-inspection programme. If we receive any concerning information we may inspect sooner.