Prudent Domiciliary Care Limited (PBG)

Updated 3 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

This inspection was completed by 2 inspectors.

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 who was also the provider.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 15 February 2023 and ended on 22 February 2023. We visited the location’s office on 15 February 2023 and used remote technology such as electronic file sharing and phone calls to engage with people using the service and staff during the other dates.

What we did before the inspection

We reviewed information we had received about the service since its registration. 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 used all this information to plan our inspection.

During the inspection

We spoke with 3 people and 3 relatives who people had nominated to speak on their behalf, 4 members of staff and the provider. We reviewed a range of care records. This included 4 people's care plans and associated records. We looked at 4 staff files in relation to recruitment, supervision and training. A variety of records relating to the management of the service were also reviewed.

Updated 3 March 2023

About the service

Prudent Domiciliary Care Limited (PBG) is a domiciliary service providing personal care to people in their own homes. The service provides personal care to people living in their own houses or flats who required support due to needs relating to their age or living with physical disabilities. 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 our inspection there were 20 people using the service receiving support with personal care.

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

People were protected from the risk of abuse by staff who knew what to look out for and how to report concerns to their manager. Safeguarding alerts had been raised appropriately and relevant professionals consulted when required. Feedback on the staff was positive with people describing the carers as, "kind and caring," and "reliable and reassuring." Staff were on time and assisted people with the tasks they required.

Risks were assessed, and information provided to staff to mitigate these. Care plans held personal information on people and provided guidance for staff to be able to care for them well. People were supported to take their medicines on time and staff competency with this was assessed regularly.

People were supported to eat and drink enough to remain well and staff documented what people’s intake was so that it could be monitored and shared with professionals if required.

Staff completed a company induction and a range of training modules when starting with the service and people told us they felt staff knew what they were doing and supported them well. Staff were supported by the provider and members of office staff, and staff told us they were available for support.

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 and their relatives told us they were treated and were involved in making decisions about their care. Staff in the office contacted people weekly to seek feedback on what was working well and what could be improved.

Checks and audits of the service were appropriate for the level of support being provided and were completed to ensure people were receiving good care and support. The provider had developed appropriate policies and procedures which provided guidance to staff and people using the service.

Staff told us they felt valued and supported by the provider and staff were happy working for 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 14 December 2022 and this is the first inspection.

The last rating for the service at the previous premises was requires improvement, published on 11 September 2021.

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.