Paradise Home Care Services Limited

Updated 10 June 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.

Inspection team

This consisted of one inspector and an interpreter.

Service and service type

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

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 72 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 10 May 2022 and ended on 20 May 2022. We requested a range of policies and procedures that were sent to us by the provider on 11 May 2022. We visited the office location on 12 May 2022 to see the registered manager and to review records related to the service. We made calls to the person, their relative and two care workers between 12 and 16 May 2022.

What we did before the inspection

We reviewed information we had received about the service since their registration. We used the information the provider sent us in the provider information return, which was submitted to us on 10 February 2022. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also contacted the local authority commissioning team. We used all of this information to plan our inspection.

During the inspection

We reviewed a range of records. This included records related to one person’s care and support and two staff files in relation to recruitment, training and supervision. We also reviewed records related to the management of the service, which included minutes of team meetings and quality assurance checks.

We spoke with four staff members. This included the registered manager, two care workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We spoke with one person and their relative. We were supported with an interpreter for one call to ensure the person could be fully involved.

We provided formal feedback to the registered manager on 20 March 2022 via email.

Updated 10 June 2022

Paradise Home Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own homes.

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.

At the time of the inspection the provider was supporting three people, but only one person received personal care.

This person’s care was funded through a local authority direct payment agreement. A direct payment is the amount of money that the local authority has to pay to meet the needs of people and is given to them to have control and choice over who they choose to provide their care.

People’s experience of using this service and what we found

The person was positive about the kind and caring attitude of the staff team and praised the importance of having staff who spoke their first language to help communication and to understand their cultural needs.

There were regular care staff who had developed positive relationships and knew how the person liked to be supported and what was important to them. Staff arrived on time and always stayed the full duration of their visit.

Although it had not directly impacted the level of care and support the person received, there were some areas for improvement with the provider’s monitoring and governance processes. This was related to policies and procedures and current COVID-19 testing requirements for staff.

The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The person and their relative was positive about the management of the service and had regular opportunities to feedback about their care. The person felt comfortable contacting the provider if they had to and was always asked if they required any additional support.

The person was supported by staff who were positive about the organisation and felt well supported in their role. Staff felt listened to and had opportunities to discuss the service they provided.

We have made a recommendation that the provider ensures their failed visit policy is updated in line with best 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 service was registered with us on 17 February 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.

Follow up

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