Worlta Health Care Ltd

Updated 19 August 2023

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 team consisted of 1 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection. We visited the location’s office on 8 August 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people and 2 relatives about their experiences of using the service. We also spoke with the registered manager and 2 care support workers. We reviewed a range of records including 2 people’s care records, records relating to staffing, recruitment, training, medicines management and other records relating to the management of the service.

Updated 19 August 2023

About the service

Worlta Health Care Ltd is a domiciliary care agency providing personal care. The service provides support to people living in their own homes. At the time of our inspection the service was providing personal care to 7 people.

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

People were safe using the service. The provider had systems in place to safeguard people from abuse. Staff had received relevant training and knew when and how to report safeguarding concerns to the relevant agencies.

Risks to people’s safety were managed well. Staff understood how to manage risks to people to keep them safe.

There were enough staff to support people and meet their needs. Staff attended care calls on time. People were supported by regular staff, so that the care and support they received was consistent.

After our last inspection the provider had improved their recruitment practices to make these safer. They now undertook more thorough and appropriate recruitment and criminal records checks on staff, to make sure they were suitable to support people.

Staff followed current infection control and hygiene practice to reduce the risk of infection when providing care and support to people. Where the service was responsible for this, people were helped to take their prescribed medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s feedback confirmed they were satisfied with the care and support provided by staff. They told us staff were caring and treated them well.

After our last inspection, the provider had improved their governance system to make this more effective. There were now regular checks of recruitment practices to make sure these remained safe.

The provider monitored and reviewed the safety and quality of care and support provided to people. They checked with people that care and support was delivered to a high standard and continuing to meet their needs. The provider used these checks to support staff to continually learn and improve in their role.

The provider sought people’s and staff’s views about how the service could improve further and acted on their suggestions to make improvements.

There were arrangements in place to make sure any accidents, incidents and complaints would be fully investigated and people would be involved and informed of the outcome. The provider worked proactively with health and social care professionals to provide care and support that met people’s needs.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 9 August 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

We carried out an announced comprehensive inspection of this service on 21 July 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve fit and proper persons employed.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions, safe and well-led, which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Worlta Health Care Ltd on our website at www.cqc.org.uk.

Follow up

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