Axis Recruitment Limited

Updated 23 October 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of two inspectors on day one of the inspection. On day two one inspector spoke with the provider on the telephone.

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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.

What we did before the inspection

Prior to our inspection we looked at the information we held about the service. This included any feedback, investigations or statutory notifications which the provider is required to send to us by law. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

To understand the experience of people using the service we spoke with the relative of the person currently in receipt of care. We also spoke with two care staff and one member of staff based in the office. We also spoke with the nominated individual and provider of the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a number of records relating to the operation and management of the service. These included the care file for the person, two staff records, training records, feedback and quality monitoring.

After the inspection

We continued to seek clarification from the provider to validate evidence found and reviewed further records in relation to the service.

Updated 23 October 2019

About the service

Axis Recruitment Limited is a domiciliary care service. At the time of the inspection the service was providing personal care to one person.

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

We made a recommendation in relation to audits and monitoring of the service. Systems were in place to ensure any safeguarding concerns were dealt with appropriately. Staff understood the actions to take in the event of a concern. Staff had been recruited safely and relevant training was undertaken. People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Environmental and individual risks were assessed. The provider confirmed the actions taken to ensure all of the individual needs were assessed and managed appropriately. The service demonstrated partnership working. They discussed their plans to ensure liaison with relevant professional was embedded to support good care to people. The person received good care. Relatives were happy with the care provided by the staff team. The provider took action to ensure care records which reflected people’s individual and current assessed needs. We made a recommendation about this. Staff supported the person to access activities.

Systems were in place to act on complaints, no complaints had been received. The relative we spoke with raised no concerns about the service. Team meetings were being undertaken and positive feedback was seen about the service provided. A range of policies and guidance was available to support the care provided. The provider understood the operation and management of 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

The last ratings at the last inspection was good overall with requires improvement in safe (published 6 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.