Prayngel Healthcare Limited

Updated 26 August 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 team consisted of one 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 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 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 01/08/22 and ended on 08/08/22. We visited the location’s office on 02/08/22.

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 and professionals who work with the service. 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

During the inspection we spoke with three people who use the service and four family members. We reviewed a range of records including three people’s care files and medicines records and staff recruitment files. We reviewed a range of documents in relation to the monitoring of quality and oversight at the service and we also spoke with five members of staff including the registered manager and the consultant.

Updated 26 August 2022

About the service

Prayngel is a care at home service providing regulated activity older people across Shropshire. At the time of our inspection there were fourteen people using the service. 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

People felt safe and were supported by trained staff who knew them well. People received their medicines as prescribed. People were supported by a regular staff team who attended people's homes at the right times and for the right amount of time. Staff wore the correct protective equipment when supporting people.

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 supported to eat and drink in line with their needs where they required this. Staff underwent recruitment checks prior to their employment and had access to regular supervisions.

People were supported by caring staff who respected their dignity and promoted their independence. People and those important to them felt able to give feedback about their care and were confident any feedback would be acted upon. People could access information in formats which supported their understanding.

People knew who the registered manager was and felt able to speak with them. There had been improvements made to the quality assurance processes at the services to ensure people received safe care and support.

Rating at last inspection and update

The last rating for this service was good (published 12 July 2017). At this inspection the service remained good.

Why we inspected

The inspection was prompted in part due to concerns received about people’s care and treatment and oversight at the service. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.