24 January 2023
During an inspection looking at part of the service
Promises of Care is a domiciliary care service providing personal care and support to people living in their own homes. At the time of our inspection there were 15 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
In response to the governance and auditing concerns raised during the last inspection, the provider developed a new care co-coordinator role to assist with the monitoring and auditing processes. The registered manager was keen to develop a culture of improvement, partnership working and transparency.
The provider monitored the quality of care and support provided to people, involving the person, their families and other professionals as appropriate.
The provider completed regular audits of the care plans, risk assessments and medicine administration. Improvement were identified and acted upon in a timely manner.
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 9 December 2022).
At our last inspection we found breaches of the regulations in relation to a lack of oversight and governance of risk within the service. The provider was made aware of our concerns and the improvements which were required to be completed by 20 January 2023.
At this inspection we found improvements had been made and the provider was now meeting this regulation.
Why we inspected
We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 17 (Good Governance) 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 specific 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.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Promises of Care on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.