Ranger Home Care - Main Office

Updated 3 June 2023

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 completed by an 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 and live-in care services to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave notice of the inspection so the registered manager could contact people and their relatives to ask them to agree to talk with us on the phone, during the inspection.

What we did before the inspection

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 sought feedback from the local authority.

During the inspection

We spoke with 8 people and 5 relatives. We also spoke with 7 care staff, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service. We reviewed a range of records related to the service people received. These included 5 people’s care plans and medicine records, 3 staff files, records related to the management of the service, quality assurance records, records of complaints and compliments.

Updated 3 June 2023

About the service

Ranger Home Care - Main Office is a domiciliary care agency providing live-in care services to people in their own homes. The service provides support to younger adults and older people, people living with dementia, people with a disability and people with a sensory impairment. At the time of our inspection there were 33 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

The provider worked with people to identify and achieve goals, promoting very positive outcomes for people around their health, wellbeing, communication needs and independence. The provider worked to find the right care solution for each individual, working creatively to overcome obstacles or barriers to people receiving the right care. Staff had an extensive knowledge of people’s needs and were dedicated to working in partnership with them to ensure their views and wishes were central to how care was planned, carried out and reviewed.

The registered manager and senior staff were caring, competent and professional. There were effective systems to oversee the quality of care and engage people when gaining feedback about care. Staff told us they felt supported in their role and listened to by management staff. The provider promoted a positive culture which achieved excellent outcomes for people.

People received personalised care in line with their needs. Staff supported people to lead active and full lives and stay in contact with those important to them. There were systems in place to help ensure complaints or concerns were investigated appropriately. Staff were provided training and support to help ensure people received responsive and empathetic care at the end of their lives.

The provider had systems in place to protect people from the risk of abuse. There were systems in place to assess and reduce risks, including risks associated with people’s medical conditions or home environments. People were supported to take their medicines as prescribed and the provider’s medicines policy had been developed in line with best practice guidelines. Staff had received training in infection control and understood good practice in reducing the risk of infections spreading.

Staff had the training and skills to provide people with effective care. The provider had systems in place to ensure people’s needs were fully assessed, and appropriate care was put in place. Staff worked effectively with people, relatives, and professionals to promote positive outcomes in people’s health and wellbeing. 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.

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

Rating at last inspection

The last rating for this service was good (published 12 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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