26 September 2022
During a routine inspection
Five Valley Care LTD is a domiciliary care service providing personal care for people in their own home. At the time of the inspection, fifteen people were receiving support from the service with 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
Improvements were needed to ensure safe recruitment practices were followed. The provider’s audits were not fully effective in identifying and addressing quality and safety concerns in areas of staff recruitment.
People's individual risks were assessed and staff were given information on how to protect people from the risks associated with their care. However, the care documentation related to the risk management of people’s health needs was not always comprehensive. We have made recommendations about risk management plans related to people’s health needs and the quality assurance systems related to this area.
We did not find that these shortfalls had impacted on people's care.
The provider responded to our inspection feedback and was open to making improvements to the service. The provider began reviewing people's care documentation and their quality assurance systems during the inspection.
People who used the service and their relatives were positive about the caring nature of staff and managers and told us they felt safe.
Care staff had the training and experience they needed to meet people's needs.
People received care and support from a consistent staffing team. Staff spoke positively about the support they received and how this promoted person centred 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.
Systems were in place for people to raise concerns and for the registered manager to receive feedback from people who used the service. This enabled them to monitor the quality of the service being provided to people.
Rating at last inspection
This service was registered with us in April 2021 and this is the first inspection.
Why we inspected
This service had not been inspected since their registration; therefore, this inspection was carried out to gain assurances about the quality of care and systems used to monitor and manage the service.
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 safe recruitment practices.
We have made recommendations about risk management plans related to people’s health needs and the quality assurance systems.
You can see what action we have asked the provider to take at the end of this full 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.