29 September 2022
During a routine inspection
Patkay Care Services Ltd is a home care agency providing personal care to people in their own homes. At the time of our inspection there were 12 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
The recruitment of staff was not safely managed as some staff had started work before their DBS check was received. Some information was missing from recruitment records.
Some audits around medication and call times needed further detail to improve these. The registered manager was dedicated to making these improvements. Feedback from everyone who received care or worked at this service showed they felt it was well managed. Staff had regular meetings and felt there was effective communication. People felt involved in the planning and reviewing of their care needs.
One person and relatives of people using this service told us they felt safe when staff provided their care. Staff had been trained and understood their safeguarding responsibilities. There were sufficient numbers of staff and people were cared for by staff who were familiar with them and their care needs. People received their medication as prescribed from staff who were trained and assessed as competent.
Staff knew about the importance of offering people choice in their daily routines. People were supported to meet their dietary needs. Staff said they received a thorough induction as well as ongoing support. The registered manager was keen to ensure staff communicated key changes about people’s health and we saw they worked well with healthcare professionals.
Feedback we received about the staff was consistently positive. The registered manager strongly promoted people’s equality, human rights, diversity and inclusion.
People had sufficiently detailed care plans which described the care they needed. Reviews were taking place and these included gathering feedback about the service provided.
A system for reporting and responding to complaints and concerns was in place. One person and relatives told us they knew how to complain if they were dissatisfied. The registered manager took appropriate action in response to these issues.
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
This service was registered with us on 15 March 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can see what action we have asked the provider to take at the end of this full report. The registered manager was responsive and has updated systems in response to our feedback.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified a breach in relation to the safe recruitment of staff. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.