Background to this inspection
Updated
28 September 2022
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 conducted by one inspector.
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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. 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 8 August 2022 and ended on 15 September. We visited the location’s office on 18 August 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority 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 used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, director and office manager. We viewed a range of records, including three people's care and risk management plans and care records. We saw three staff files in relation to recruitment and supervision. We viewed a variety of records relating to the management of the service, including audits, meeting records and procedures. After our visit we spoke with two people who used the service, one relative of a person who use the service and three care staff. We continued to seek clarification from the provider to validate evidence found.
Updated
28 September 2022
About the service
The Roof Support Services UK Ltd is a domiciliary care agency. It provides care and support to people in their own homes in the London Borough of Brent. The provider supports people living with mental health needs, dementia or who have physical disabilities. At the time of our inspection the service was providing care and support to 77 people although only 10 people 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
People and relatives thought the service was good and said they were safe. There were procedures in place to protect people from harm and abuse. There were arrangements for preventing and controlling infection. Staff supported people with their medicines safely.
There were enough staff to meet people’s needs. Staff received supervision and training and felt supported by their managers. The provider had systems to ensure they only employed fit and proper staff to provide care and support.
The provider developed care plans with people and their relatives, which set out their likes, care preferences and communication needs. People and their relatives knew how to raise issues or complaints and said the provider was approachable and responsive.
There were systems in place to monitor the quality of the service and make improvements when required. People, relatives and staff were asked to give feedback about the service. They felt the service was managed well. The provider worked in partnership with other
professionals and services to meet people's needs.
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 (26 May 2021). 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 provider was no longer in breach of regulations. At our last inspection we recommended that the provider consider current guidance on reviewing and updating people's care and risk management plans so as to assesses and support people to manage risks to their safety and well-being. At this inspection we found the provider had made improvements.
Why we inspected
We carried out an announced comprehensive inspection of this service on 22 April 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve managing medicines, person-centred care and having effective systems in place to monitor and improve the quality of the service. We undertook this focused inspection to check they 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, responsive and well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to 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 The Roof Support Services UK Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.