React Homecare Ltd

Updated 23 March 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

This inspection was carried out ‘using remote technology'. We used electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. We visited the service’s office to have a conversation with the management team.

Inspection team

This inspection was carried out by an 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

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.

Notice of inspection

This inspection was announced. We gave short notice of the inspection in order for the registered manager to provide us with the documentation we needed to look at.

Inspection activity started on 24 January 2023 and ended on 3 March 2024. We visited the service’s office on 28 February 2023.

What we did before the inspection

We reviewed information we had received about the service since it was registered. 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 sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

This inspection was carried out ‘using remote technology'. We used technology such as video calls and emails to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation. We also visited the service’s office to have a conversation with the management team.

We spoke with 3 people who used the service, 14 relatives, 2 members of staff who provided care and support and 2 members of the management team for the service.

Updated 23 March 2023

About the service

React Homecare Ltd is a domiciliary care agency providing support for people in their own homes. Not everyone using 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. The service was supporting 70 people at the time of the inspection.

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

Staff were recruited safely and knew how to keep people safe from harm and abuse. People described staff as caring and friendly.

People told us they received a better service from the directly employed staff rather than staff from an agency. The service had recognised this and had put plans in place to recruit and retain more staff.

People had plans of care in place which were reviewed with family members and health and care professionals where appropriate.

There were quality checks in place to monitor the quality of services provided.

People felt comfortable and safe with the staff and had confidence that any concerns or requests were listened to by carers.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: The service maximised people’s choice, control and independence. People were supported to have maximum choice and control of their lives. Policies and systems did support least restrictive practice. Where people needed support with their medication, this was managed safely.

Right Care: People told us that they felt comfortable and safe with the staff. Care was person-centred and promoted people’s dignity and privacy.

Right Culture: People told us they were confident to raise a complaint or a concern about the service and that it would be put right. The service’s management team had a clear vision and plan about how the service would develop and continue to improve. This included confirmation of investment in resources, staff and employee benefits.

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 requires improvement (published 30 April 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the service was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for React Homecare Ltd on our website at www.cqc.org.uk.

This inspection was carried out ‘using remote technology'. We used electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment. We also visited the service’s office to have a conversation with the management team.