Real PCS Solihull

Real PCS Solihull is a domiciliary care and supported living service providing personal care and support to people in their own homes. They were providing a service to 23 people at the time of inspection; four of whom were receiving personal care. No people from the supported living setting were receiving 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

Risks to people’s health and safety were not always recorded comprehensively to ensure staff had current knowledge of how to provide individual care safely. People’s medicines were not always administered according to national best practice guidance. There was not always enough numbers of staff at the service to provide care calls. Systems were in place to maintain people’s safety and staff were aware of their safeguarding responsibilities.

Staff did not receive accredited training for some care tasks relating to people’s complex needs. Not all complex needs were comprehensively assessed to ensure personalised care was planned effectively. People were supported to eat and drink to maintain their health and the service worked alongside other health and social care professionals to ensure peoples health was maintained. People were supported to make choices and decisions and staff promoted their independence.

Audits were not always conducted thoroughly in order to identify issues with completeness and accuracy of people’s care documentation. Overall staff felt able to seek support and advice in order to carry out their role when needed. People had accessibility to the management team to raise any matters relating to their care. The provider requested feedback from people regarding the care they received in order to address any changes or improvements required. The service demonstrated openness to continuous learning in order to improve care.

Overall, people felt supported and cared for and staff spoke fondly of the people they supported. Care staff treated people with respect and compassion and ensured people's dignity was maintained.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 23 October 2018).

Why we inspected

The inspection was prompted in part due to concerns received about the safe care and treatment of a person and the potential impact for other people supported by the service. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led section of this full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.