Background to this inspection
Updated
24 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
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
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.
What we did before the inspection
We reviewed information we held received about the service. We sought feedback from the local authority and professionals who might work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to 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 three people who used the service and one relative about their experience of the care provided. We spoke with the registered manager and two carers for the service. We reviewed a range of records. This included four people’s care records. We looked at nine staff files in relation to recruitment, five of whom worked for the provider from abroad. We also looked at a variety of records relating to the management of the service.
We continued to seek clarification from the provider to validate evidence found. This included speaking to the Information Commissioners Office about data transfer. We looked at further evidence sent to us by the registered manager in regard to staffing, training and information governance.
Updated
24 June 2022
About the service
Passion Tree Care Services Ltd (Havering Branch) is a domiciliary care agency registered to provide personal care. At the time of the inspection, sixteen people were receiving support with personal care.
People’s experience of using this service and what we found
The service sought to keep people safe from abuse. The service assessed risks to people to keep them safe when caring for them. Staff were recruited safely and their attendance at calls was punctual. People’s medicines were managed safely. Infection prevention and control measures were in place. Lessons were learned when things went wrong to minimise the risk of re-occurrence.
People’s needs were assessed before they used the service so the provider knew whether they could meet those needs. Staff were trained how to do their job and were provided an induction before starting employment. People were supported to eat and drink and make choices with their food. Staff worked with other agencies to provide effective care, particularly health care professionals.
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 consent was sought when care was provided.
People and relatives told us staff were caring. People’s equality and diversity characteristics were respected as was their privacy and dignity. People and relatives were able to express their views about the care provided. People were encouraged to be independent.
Care plans recorded people’s needs and preferences and people received person centred care. People’s communication needs were met by staff and their communication needs and preferences recorded in care plans. People were supported with activities they wanted to do. People and relatives were able to complain, and the service responded to complaints appropriately. People had the choice to share their end of life wishes if they wanted to.
The provider promoted a positive culture and person-centred service; people, relatives and staff thought the service was well led. Staff and management knew their job roles and responsibilities. There were quality assurance systems in place, so the provider was able to continuously learn and improve, this included gathering feedback from people and relatives. Staff were able to engage with the registered manager through regular meetings or supervision. The service worked in partnership with other organisations to benefit people using the service.
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 18 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.