Background to this inspection
Updated
21 July 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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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
This inspection was announced. We gave a short period notice of the inspection to enable us to collate as much information as possible virtually to minimise the time spent by the inspection team visiting the provider’s office.
Inspection activity started on 20 June 2022 and ended on 6 July 2022. We visited the office location on 30 June 2022.
What we did before the inspection
We reviewed information we held about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with one relative about their experience of the care provided. We spoke with three members of staff including the registered manager and care staff.
We reviewed a range of records. This included one person’s care records and staff training. We looked at two staff files in relation to recruitment, induction and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
21 July 2022
About the service
Remaj Care is a domiciliary care agency providing personal care and support to people living in their own houses and flats. At the time of our inspection there was one person using the service.
People’s experience of using this service and what we found
There were systems in place to monitor the quality and safety of the service. However, at the time of our inspection, these had not been implemented. The registered manager recognised checks needed to be undertaken to monitor the quality and safety of the service. We have made a recommendation about quality assurance management.
Risks to the person had been identified and management plans put in place to ensure staff knew how to support them. However, not all risks associated with the person’s care and support and health conditions had been formally recorded. We have made a recommendation about the assessment and recording of risks.
People were kept safe from abuse and harm. Staff received safeguarding training and knew how to report any suspicions concerning abuse.
There was enough staff to meet the needs of the person. Relevant checks had been completed to ensure only suitable staff were employed.
Staff had not received formal one to one supervision or observations of their practice which helps providers to monitor staff performance and identify any learning needs. However, staff felt valued and well supported by the registered manager. We have made a recommendation about staff supervision and observations of staff practice.
Staff who supported the person knew them well. Feedback we received confirmed the person and their relative were happy with the staff that supported them. The person’s privacy and dignity were respected, and they were encouraged to make choices and to maintain their independence.
The person’s care plan had been developed in partnership with the person and their relative. However, the care plan did not always contain enough information and guidance to support staff to provide individualised person-centred care.
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
This service was registered with us on 9 October 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the length of time the service was registered and when they commenced providing a regulated activity.