Archived: Rising Care Services Ltd

Updated 25 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection was announced and took place on 31 May 2018, with telephone calls being made on 6 June 2018. We gave the service 24 hours notice to ensure we had access to the office and someone was available to speak with us. The inspection was carried out by one inspector.

Following this inspection on 6 June 2018 we telephoned people using the service for their opinions on the service being provided. We spoke with three people using the service, one relative and also with three members of support staff.

We reviewed information that we held about the service such as notifications, which are events, that happened in the service that the provider is required to tell us about, plus information we had received from other independent agencies.

We looked at four people’s support records to see if they reflected the care that was being provided. This also included individual medication administration records and three staff recruitment files. We looked at other information related to the daily running of the service including quality assurance audits, staff training and the management of staffing.

Updated 25 August 2018

We carried out an announced inspection of the service on 31 May 2018 and undertook telephone calls on 6 June 2018. This was the first inspection since the service was registered with Care Quality Commission (CQC). Rising Care is a domiciliary care agency that provides personal care to people living in their own homes. At the time of this inspection the service was providing support to six people.

Personal care is a regulated activity; CQC only inspects the service being received by people provided with 'personal care' living in their own homes or in specialist housing; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

We brought this inspection forward due to some concerns that had been raised by the local authority. These had been related to shortfalls regarding records and recruitment practices. Since these concerned had been raised the provider had been working with the local authority to address these issues and meet with the requirements of their registration.

There was an application being processed for the position of registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Any assessed risks associated with people's support was reviewed and developed to minimise or eliminated perceived risks. This formed part of the initial review a person's needs on their referral. The person's home environment was also risk assessed to safeguard the individual and also members of staff. These assessments were fully documented in personal support plans.

Risks associated with the environment had been assessed and information recorded to inform staff how they should carry out supporting people in a safe way.

People received regular calls from staff as they needed, with people being informed if staff were going to be late.

Staff had received training and the systems in place showed when this was due to be refreshed.

People had an assessment of their needs and support plans were developed to inform staff of how to support people in the way they had chosen.

Staff were aware of their responsibilities to protect people from avoidable harm and abuse. Training covered these as well as other areas that included infection control, safe handling of medicines, food hygiene and health and safety.

Staff treated people with respect and kindness, they were caring and compassionate in their care and approach. Independence was promoted and privacy and dignity respected.

People knew how to raise a concern or make a complaint. Whilst people had experienced a positive outcome, they said they would not hesitate to speak to staff or contact the office with any concerns.

The provider was aware of their responsibility to gain feedback regarding the quality of the care and support that was provided. They had developed questionnaires ready to be issued for this purpose. The provider also gathered comments and feelings from people when they visited people in their home, or undertook support for any reason.

The provider had systems and processes in place to regularly review the quality and safety of the service people received. Monthly audits of records and recorded telephone conversations with people using the service meant that any areas requiring attention were quickly identified.