We carried out a review of the data available to us about Pro Target Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Pro Target Care Limited, you can give feedback on this 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.
Pro Target Care Limited is a domiciliary care agency. At the time of this inspection eight people over the age of 65 were receiving personal care.
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 did not always receive their medicines as they were prescribed. Medicine records were not always completed with enough detail. Key recruitment checks were not always obtained before new staff started work. Staff had received training when they first started but this missed out on some key areas that staff needed to meet people’s needs. Staff had guidance about how to care for people in care records, although these were not always written in enough detail to tell staff exactly what they had to do or what people were still able to do.
Systems to monitor how well the service was operating were carried out. These systems included audits of care visit notes and medicine administration records. However, they did not identify concerns and there a lack of action to address key issues, such as gaps in medicine records. This was due in part to a lack of opportunity by the registered manager. They also acted as a care worker and they were less able to spend time overseeing the running of the service.
Relatives were generally happy with the service and the staff who provided their care. People felt safe using the service and staff knew what they were doing, they visited people to learn how to care for them before having to do so. There were enough staff, and the registered manager also visited people regularly.
Staff supported people with meals and drinks. Staff had protective equipment to reduce the risk of infection. Staff followed advice from health care professionals and made sure they asked people’s consent before caring for them.
People liked the staff that cared for them and relatives said their family members got on well with staff. They went on to tell us that staff supported people to live as they wanted. Staff were kind and caring, they involved people in their care and made sure people’s privacy was respected. Staff worked well together, they understood the agency’s aim to deliver care, which helped people to continue to live in their own homes.
We have made a recommendation about information in care plans.
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. However, how best to do this was not always recorded.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21May 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the registration date.