9 February 2023
During an inspection looking at part of the service
Invictus Plus Care is a domiciliary care agency providing personal care to people in their own home. At the time of our inspection there were 50 people using the service.
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
Since the last inspection the provider had recruited new staff to support the management team. These staff had helped to operate the systems to ensure the provider had effective oversight of the service. The registered manager said their priority had been to put systems in place to ensure they took action to make improvements.
People told us they were happy with the care they received. They felt confident the management team would address any concerns they had.
The registered manager had developed a series of audits, to assess how key aspects of the service were operating. These included assessments of the medicines management systems, care planning, risk assessments and observations of staff practice. Records demonstrated these audits had identified shortfalls in the way some systems were working and identified how improvements could be made. Actions from the assessments had been followed through to ensure required improvements were implemented by staff. Further action is needed to ensure the improvements are sustained and people receive a consistently good service.
Incident reports demonstrated management reviews had been completed and action taken to reduce the risk of similar incidents occurring again.
The registered manager demonstrated a good understanding of safeguarding incidents and lessons learnt to keep people safe and improve the service. The management team was working with the safeguarding team to address concerns raised.
Staff told us they felt well supported and had access to management assistance when needed. They confirmed they had regular supervision sessions, although one member of staff felt they would like these to take place more frequently.
Social care and health professionals reported the service had been working with them in an open way and had taken on board feedback to make improvements.
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 requires improvement (published 1 December 2022)
Why we inspected
We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.