Background to this inspection
Updated
29 June 2021
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
The inspection team consisted of 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 to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission, who was also the provider. This means that they 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 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would available to support the inspection.
Inspection activity started on 25 March 2021 and ended on 16 April 2021. We visited the office location on 30 March 2021
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who used the service and six relatives about their experience of the care provided. We spoke with three members of staff including the registered manager, office manager and a care worker. We also received written feedback from two care workers.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and training records for all staff. A variety of records relating to the management of the service, including audits and quality checks were also reviewed.
Updated
29 June 2021
About the service
Pro Target Care Limited is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of this inspection, 15 people were 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 told us that they felt safe and received continuity in their care from regular, consistent staff. Staff understood the principles of safeguarding people from harm and had received training. The provider had robust recruitment procedures in place and completed relevant checks prior to staff working at the service.
People were involved in planning their care. Each person had an assessment before receiving care from the service which led to the creation of a detailed care plan. Care plans were reflective of people’s needs and had been reviewed regularly. Staff were knowledgeable about the people that they were supporting and provided personalised care.
Medicines were managed safely, and staff followed good infection control practices. The registered manager checked on staff practice through spot checks and working alongside staff during care visits.
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, relatives and staff spoke highly of the registered manager. There were quality assurance systems in place to monitor all aspects of the service. All staff demonstrated a commitment to providing high quality care to people.
People told us they felt listened to and “in charge” of their service. No formal complaints had been raised; however, there was a procedure in place should any concerns be raised. The registered manager actively sought feedback from people, relatives and staff with a view to developing and improving the service.
There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued. They felt supported by the registered manager to complete their roles and were provided with the training and support they needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 13 August 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We received concerns in relation to recruitment, management of people’s care needs, staff training and the overall management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led.
We reviewed the information we held about the service. No areas of concern were identified in the caring key question. We therefore did not inspect that domain. The rating from the previous comprehensive inspection for that key question was 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.
We found no evidence during this inspection that people were at risk of harm from the concerns raised. Please see the safe, effective, responsive and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pro Target Care 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.