Raza Homecare Limited

Updated 24 March 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 Care Act 2014.

Inspection team

One inspector carried out this inspection.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was announced and took place on 8 March 2022. We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

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 health care professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke in person with the registered manager. We contacted four people using the service, their relatives or advocates, and four staff, to get their experience and views about the care provided. We reviewed a range of records. This included two people’s care and risk records. We looked at two staff files in relation to recruitment, training and staff supervision. We checked a variety of records relating to the management of the service, including audits, spot checks and quality assurance.

After the inspection

We continued to seek clarification from the agency to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included staff and training information, and audits. We received the information which was used as part of our inspection.

Updated 24 March 2022

About the service

Raza Homecare Limited is a domiciliary care agency and registered for 'personal care'. The service provides personal care to older people who may be living with dementia, and have a physical disability and younger adults. At the time of inspection, six people were receiving support with personal care from this service.

The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; 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

At the last inspection, people’s risk management plans lacked information regarding potential risks to them, to help staff identify and reduce the impact of these risks and monitoring and audit systems did not always identify issues in relation to the quality of care provided.

At this inspection, risk management plans contained suitable information regarding potential risks to people to help staff identify and reduce the impact of these risks and monitoring and audit systems identified issues regarding the quality of care provided.

People received a service that was safe to use and for staff to work in. Enough appropriately recruited and trained staff supported people to live in a safe way and enjoy their lives. Risks to people and staff were assessed and monitored. Complaints, concerns, accidents, incidents and safeguarding issues were reported, investigated and recorded. Medicines were safely administered, by trained staff. The agency met shielding and social distancing rules, used PPE effectively and safely and the infection prevention and control policy was up to date.

There was transparent management and leadership with an honest, open and positive culture. The provider vision and values were clearly defined, in the statement of purpose and staff understood and followed them. Staff were made aware of their responsibilities and accountability and prepared to take responsibility and report any concerns they may have, as required. Service quality was reviewed, and changes made to improve people’s care and support. This was in a way that best suited people. There were well-established working partnerships that promoted people’s participation and reduced their social isolation. Registration requirements were met.

Rating at last inspection

The last rating for this service was Requires Improvement (published 4 September 2019) and there were two breaches of regulation. The agency completed an action plan after the last inspection to show what they would do to improve and by when. At this inspection we found improvements had been made and the agency was no longer in breach of regulations.

Why we inspected

This inspection was prompted in part due to risk management plan concerns and audit and monitoring systems not always identifying issues in relation to people’s care and safety. A decision was made for us to inspect and examine the risks associated with these issues.

CQC has introduced focused/targeted inspections to follow up on previous breaches and to check specific concerns. We undertook a focused inspection approach to review the key questions of Safe, and Well-led where we had specific concerns outlined above.

As no concerns were identified in relation to the key questions is the service Effective, Caring and Responsive, we decided not to inspect them. Ratings from the previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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 Raza Homecare Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk