Rusko Care Ltd

Updated 21 May 2022

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 Health and Social Care Act 2008.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 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 26 April 2022 and ended on 28 April 2022. We visited the office location on 26 April 2022.

What we did before the inspection

We reviewed information we had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with four people and three relatives of the people who used the service about their experience of the care provided. We spoke with three members of staff including the registered manager.

We reviewed a range of records. This included three people's care plans, medicines records and daily care records. We looked at recruitment checks and complaints. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at the training matrix, staff meeting notes, and other records.

Updated 21 May 2022

About the service

Rusko Care limited is a domiciliary care agency providing personal care to people living in their own home. People receiving the service were living in an extra care setting. At the time of the inspection 18 people were receiving the regulated activity, personal care.

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

People were not fully safeguarded from the risk of abuse. When incidents had occurred that put people at risk the registered manager had taken action to make sure people were safe. However, on two occasions the registered manager had not discussed these incidents with the local safeguarding authority to find out if they felt further investigations were necessary. The registered manager took immediate action to address this after the inspection. When there were any incidents and accidents these were recorded, and steps were taken to prevent any re-occurrence

Risk to people health and safety where identified. However, guidance on what action to take if the risk occurred was not consistently recorded. Staff did know what action to take in the event of a risk incident. The registered manger had taken action to address the shortfall.

Staff communicated effectively with people and each other to make sure people's needs were met in the way they had chosen. When people were unwell or needed extra support, they were referred to health care professionals and other external agencies. People received person-centred care that promoted their dignity and independence. Staff followed infection control policies and practices to help protect people from any infection.

People told us the service was well managed. People and their relatives gave positive feedback about the service they received. They said the registered manager was approachable and sorted out any issues they had. People and their relatives spoke highly of the registered manager and staff. People said they felt safe with the staff when they received care in their own homes. People told us they were treated kindly and compassionately by the staff.

Staff knew their roles and were able to tell us about the values and the vision of the service. There were adequate quality assurance measures in place. The registered manager visited people and made calls to check people were happy with the service. Any complaints that were made were managed in the right way and people had been invited to suggest improvements to the service.

There were sufficient numbers of staff to provide the care people needed. People and their relatives said staff arrived when they should and stayed the allotted amount of time. They reported they had not had any missed calls. Staff received the training they needed to look after people in the way that suited them best. Staff received support, guidance and advice from the registered manager. The registered manager regularly worked alongside the staff team and checked that staff were working with people safely. All safety recruitment checks were completed before staff started working with people.

People were supported to express their views and make decisions about their care. 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 needs were assessed and reviewed to ensure care being delivered was up to date and reflective of their needs. People had care plans that provided detailed guidance for staff on the support and care that they needed on a daily basis. Care plans were specific and personalised. People were supported to do things they wanted to do. People consented to their care and were supported by staff who were trained to fulfil their roles effectively. Staff were aware of the importance of good nutrition to people's health and well-being. Medicines were managed safety and people received their medicines as prescribed by their doctor.

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

This service was registered with us on 10 November 2020 and this is the first inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner