Background to this inspection
Updated
22 December 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 conducted by two inspectors.
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 48 hours’ 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 23 November 2021 and ended on 30 November 2021. We visited the office location on 24 and 30 November 2021.
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 reviewed information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority safeguarding team, commissioning team, and Healthwatch Leeds. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with two people using the service and four relatives about their experience of the care provided. We gathered information from five members of staff including the registered manager.
We reviewed a range of records. This included two people’s care plans, risk assessments and associated information, and other records of care to follow up on specific issues. We also reviewed multiple medication records. We looked at two staff files in relation to recruitment, training and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and further records of care.
Updated
22 December 2021
About the service
Loidis care services is a domiciliary care agency providing personal care to adults living in their own homes, some of whom require end of life care. At the time of the inspection, the service was supporting five people.
People’s experience of using this service and what we found
People told us they felt safe with the care received. We found improvements continued to be required in how risks to people’s care were recorded, although staff and the registered manager were knowledgeable about risks and how to manage these.
At our last inspection, we made a recommendation in relation to the management of medication. At this inspection, we found improvements continued to be required in the recording of 'as and when required' medication, although the other areas of medicines management were safe.
Staff had been trained in safeguarding adults and were able to identify signs of abuse and neglect. During this inspection we had to ask the registered manager to make a safeguarding referral due to one allegation made by a relative of unsafe moving and handling manoeuvre performed by staff. There had been one safeguarding incident the registered manager had not reported to the Care Quality Commission in line with their responsibilities. We made a recommendation for the registered manager to review the relevant guidance.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s nutritional and hydration needs were met appropriately and in accordance with people’s choices.
Staff felt well supported by the registered manager and there were systems in place to ensure staff were inducted into their jobs, trained, monitored and supported regularly.
People and relatives told us staff were kind and the registered manager approachable.
People’s care was planned in a person centred way and staff knew people well. People’s diverse needs and preferences were considered and respected.
There were quality assurance policies and procedures in place and these were followed.
The registered manager was supportive and actively collaborated with the inspection process and either took immediate action to address the issues found or told us about their plans to improve. People, relatives and staff shared positive feedback about the management of the service.
Rating at last inspection
We completed a focused inspection on this service on 2 and 3 September and 7 October and we found the safe domain was requires improvement and the well led domain was good, but we did not award an overall rating to the service.
Why we inspected
This was a planned inspection based on the previous inspection.
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.