Background to this inspection
Updated
30 September 2022
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 was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
This service is also registered to provide care and support to people living in ‘supported living’ settings; so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. One person was receiving this level of support at the time of the inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with CQC to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short period of notice of the inspection. This was because we needed to be sure the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 23 August 2022 and ended on 25 August 2022. We visited the office location on 23 August 2022.
What we did before the inspection
We reviewed information we received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was 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. We used all the information to plan our inspection.
During the inspection
We spoke with the registered manager, four members of staff and one external healthcare professional.
We reviewed a range of records. This included two people’s care records, three staff personnel files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures.
Updated
30 September 2022
About the service
Prolibertas Care Solutions is a registered domiciliary care agency and supported living service; providing personal care to adults in their own homes and supported living settings. The services provides care to younger adults and older people who are living with physical disabilities, sensory impairments, dementia, learning disabilities and autistic spectrum disorders and people who require mental health support. At the time of the inspection one person was receiving support in a supported living setting, and one person was receiving domiciliary care.
The Care Quality Commission (CQC) only inspects services 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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance The Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: The model of care and setting helped to support and maximise people’s choice, control and independence.
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.
Right Care: The provider ensured person-centred care was being provided which helped to promote people’s dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
Safe recruitment measures and arrangements were in place. Pre- employment recruitment checks were carried out, all applicants were suitably vetted and inducted into their roles. Staffing levels were monitored and effectively managed ensuring people received the required level of support they needed.
At the time of the inspection only one person was receiving medicine support. The appropriate medication administration training had been provided, there was an up to date medication administration policy, and routine audits were completed as a measure of overseeing compliance and performance.
People’s support needs and areas of risk were appropriately assessed. We noted that some information needed to be added and/or removed from records for consistency purposes. Feedback was immediately responded to.
The provider ensured that Infection prevention and control (IPC) arrangements and procedures were complied with. Staff were engaged in twice weekly COVID-19 testing regimes, PPE was provided and COVID-19 and IPC training was provided.
People were protected from harm and abuse. There was an up to date safeguarding policy, safeguarding training was provided and staff knew how to escalate any concerns.
Effective quality assurance and governance measures were in place. The quality and safety of care was assessed, monitored and improvements were identified as and when needed. Staff and management understood their roles and responsibilities and ensured high-quality, compassionate care was being delivered.
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
This service was registered with The Care Quality Commission on 05 May 2018, this was the first inspection of this registered service.
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.