Background to this inspection
Updated
8 March 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 and 1 inspection manager.
Service and service type
Maxi Healthcare Limited 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 it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 25 January 2023 and ended on 1 February 2023. We visited the location’s office on 25 January 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We also looked at information we held about the agency, such as notifications. Notifications are changes, events or incidents which the provider is required to tell us about by law. We used all this information to plan our inspection
During the inspection
We spoke with 3 relatives, 3 care workers, 2 office staff and the registered manager whose was also the provider. We reviewed a range of records. This included 4 people's care records, risk assessments, daily records, medicine and health records. We also looked at 4 staff files including their recruitment, supervision and training records. We reviewed records relating to the management of the service, quality assurance records and a variety of policies and procedures implemented by the provider. We also looked at other records the provider kept, such as staff meetings minutes and surveys people completed to share their views as well as feedback from healthcare professionals.
Updated
8 March 2023
About the service
Maxi Healthcare Limited is a domiciliary care agency providing personal care to people in their homes or flats. At the time of the inspection, they were providing personal care to 13 people. This included older people who had been discharged from hospital and needed help with day-to-day tasks like cooking, shopping, washing and dressing and help to maintain their health and wellbeing for up to 4 weeks.
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
We received positive feedback from people who used the service and relatives. One person said, “Staff always arrive on the spot. Time keeping is very good.” Another said, “There is no area to improve on. They are good.” And another person said, “I talk to them every day they come, very approachable, they are great.”
Staff knew what they should do to identify and raise safeguarding concerns. The registered manager knew their responsibilities in relation to keeping people safe from harm. Risks were appropriately assessed and mitigated to ensure people were safe. Medicines were managed safely, and people had received their medicines as prescribed.
People were happy with their care and support. Staff had built up good relationships with people. Staff were caring and kind in their approach and had a good rapport with people. People told us they were treated with dignity and respect. People’s privacy was respected.
There were enough staff deployed to meet people’s needs. The provider operated a safe and robust recruitment and selection procedure to make sure staff were suitable and safe to work with people. Staff received training, which enabled them to meet people’s needs. They also received support and supervision to enable them to carry out their roles safely.
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 were encouraged to make their own choices about everyday matters. People’s decisions and choices were respected.
Where necessary, people were encouraged to have a healthy diet which met their health needs. People were supported and helped to maintain their health and to access health services when they needed them. The registered manager and staff maintained good communication with other organisations such as the community nursing service, GP and other healthcare services.
Staff were positive about the support they received from the management team. They felt they could raise concerns and they would be listened to.
Effective systems were in place to enable the provider to assess, monitor and improve the quality and safety of the service.
The registered manager had built links with other healthcare professionals and worked closely with them.
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 first registered with us at the previous premises on 15 April 2021 and was not rated. This service was reregistered with us at a new premises on 5 January 2023 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.