Premium Community Care Ltd

Updated 4 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by 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:

The service is a domiciliary care agency. It provides personal care to people living in their own homes.

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:

We gave the service 48 hours’ notice of the inspection visit because we needed to be sure that they would be in.

What we did:

We reviewed the information we had received about the service since they were last inspected. This included the Provider Information Return (PIR), notifications received from the provider about safeguarding and serious injuries, which they are required to send us by law. Providers are required to send us key information about the service, what they do well, and improvements they plan to make. The information helps support our inspections.

During the inspection we spoke with two people and seven relatives to ask their experience of the care provided. We spoke with the registered manager, the provider and five members of care staff.

Inspection site activity started on 11 March 2019 and ended on 15 March 2019. It included telephone calls to people and their relatives to gain feedback about the service and telephone calls to staff who provided support to people. We visited the office location on 11 March 2019 to see the registered manager and to review care records, policies and procedures. We looked at four people’s care records to see how their care was planned and delivered. Other records we looked at included three staff files to check suitable members of staff were recruited and received appropriate training. We also looked at records relating to the management of the service to ensure people received a good quality service.

Details are in the key questions below.

Updated 4 April 2019

About the service:

Premium Community Care Ltd is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of the inspection, 50 people were receiving care and support services.

People’s experience of using this service:

¿ People told us they felt safe and staff knew how to protect people from the risk of harm or abuse. People’s risks were assessed, monitored and managed. People were supported by a sufficient number of safely recruited staff. Medicines were given as prescribed. Staff had access to personal protective equipment. Accidents and incidents were monitored for trends.

¿ People were cared for by staff who had the skills and knowledge to meet their needs, Staff understood their role and felt supported by the management team. Staff sought people’s consent before care was provided. People were supported to access healthcare agencies when required.

¿ People said staff were kind in their approach. People said their dignity and privacy was maintained and they were involved in the planning and review of their care.

¿ People received care that was responsive to their needs. Care records were reflective and up to date. The provider had a complaints process in place which people were aware of and knew how to access.

¿ The provider had quality auditing and monitoring systems in place which included competency checks on staff practice. People and staff said the provider and management team were approachable and the culture of the organisation open and friendly.

Rating at last inspection:

Requires improvement (report published 15 November 2017).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. At the last inspection the service was requires improvement overall (in the key questions of Caring and Well-led). We found the required improvements had been made and the service has met the characteristics of Good in all areas. The overall rating is Good.

Follow up:

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

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