Home-Care Perfection - Main Office

Updated 4 February 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 was carried out by 1 inspector onsite and 1 inspector who conducted remote calls to staff. An Expert by Experience supported remotely with calls to people and relatives who use the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

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 the provider or registered manager would be in the office to support with the inspection.

Inspection activity started on 7 December 2022 and ended on 14 December 2022. We visited the location’s office 7 December 2022.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. 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 5 relatives about their experience of the care provided and we spoke with 7 staff members. This included the registered manager, the provider and care staff. We reviewed a range of records which included, 2 people’s care records, daily notes and medication records. We looked at 2 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures and training documents.

Updated 4 February 2023

About the service

Home-Care Perfection is a domiciliary care service that provides care and support for people 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 service was supporting 6 people with personal care.

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

Medicines were not managed safely. Specific risk assessments were not in place increasing potential risk to people. The service did not have an effective audit system in place to monitor the quality of the service. Lessons learnt were not evident due to the lack of auditing of systems and processes. We made a recommendation for the provider to review their systems and processes.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff followed good infection control practices, including wearing personal protective equipment when supporting people. Staff received feedback about the quality of care and support they provided. Safe recruitment processes were followed.

People received a detailed pre assessment before the service agreed to proceed with the care package ensuring they could meet people’s needs. People told us they received care from consistent and regular staff members. Staff received a thorough induction and had support and training which provided them with the necessary knowledge to meet people’s needs.

Staff knew people well and relatives reported staff were caring, compassionate and patient with people. People were treated with dignity and respect and had their privacy and independence promoted.

Care plans were person centred and detailed with people’s histories. People and relatives were complimentary about the care provided by the service.

The registered manager was approachable, and people, relatives and staff spoke highly of the management at 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 13 August 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. We have found evidence the provider needs to make improvements. Please see the safe, effective and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to medicine management, management of risks, best interest decisions and good governance at this inspection.

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.