Background to this inspection
Updated
28 May 2021
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector and an Expert by Experience. 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
Restgarth Domiciliary Care Ltd is a domiciliary care service that provides personal care and support to people living in their own homes in the community. This includes people with physical disabilities and dementia care needs. The service mainly provides personal care for people in short visits at key times of the day to help people get up in the morning, go to bed at night and support with meals.
Notice of inspection
The inspection was announced. We announced the inspection a few days in advance to ensure appropriate management would be available to participate in the inspection process and to make arrangements for information to be shared with the commission before the site visit.
Inspection activity started on 23 April 2021 and ended on 30 April 2021. We visited the office location on 27 April 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection and the information we had requested when the inspection was announced.
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 took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who used the service and seven relatives. We received feedback from 12 staff and one healthcare professional.
We visited the service’s office and spoke with the manager, and the other two members of the management team who were responsible for specific areas of the running of the service. We looked at a range of care records in relation to people who used the service, staff recruitment and training records, quality assurance records and information related to the running of the service.
After the inspection visit
We continued to seek clarification from the provider to validate evidence found. We reviewed the additional documentation we had requested from the manager prior to and during the site visit.
Updated
28 May 2021
About the service
Restgarth Domiciliary Care Ltd provides personal care to people living in their own homes in the community. It provides a service to older adults in the Liskeard, Looe, Saltash and surrounding areas of Cornwall. At the time of our inspection 45 people were receiving a personal care service.
People’s experience of using this service and what we found
People told us they were happy with the service they received and had regular staff who arrived on time. They had agreed the times of their visits and were kept informed of any changes. People said they felt safe using the service and staff were caring and respectful. Comments included, “I am extremely happy with the service. There are carers and those who care, and they really care”, “We would be lost without these carers; they are most communicative, and we have a lot of laughter together” and “The carers are brilliant; I don’t know what I would do without them. They have made such a difference.”
Rotas were well organised and there were enough staff available to provide all planned care visits. Staff had a good knowledge and understanding of people’s routines and had the skills and knowledge to meet their needs. Staff spoke passionately about the people they supported and were clearly committed to providing an effective and caring service in line with people’s wishes.
There were robust recruitment processes in place to help ensure staff were suitable to work with vulnerable people. Staff were supported by a system of induction, training and supervision to ensure they were effective in their role.
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 had a care plan detailing their needs and care plans provided guidance for staff about how to meet those needs. Assessments were carried out to identify any risks to the person using the service and to the staff supporting them. Risk assessments and care plans were kept under regular review and updated as people’s needs changed.
Staff supported people to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.
People, their relatives and staff told us management were approachable and they listened to them when they had any concerns or ideas. All feedback was used to make continuous improvements to 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 and update
The last rating for this service was good. (Report published on 20 February 2018)
Why we inspected
This was a planned inspection based on the previous rating. At this focused inspection we reviewed the key questions of Safe, Effective and Well-led only.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained 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 Restgarth Domiciliary Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.