Reni Care Personnel Ltd

Updated 18 January 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

Our inspection was completed 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 and specialist housing.

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

This inspection was announced. We gave the service 48 hours' notice of the inspection and then rearranged the date due to the provider’s availability, giving four days’ notice. This was because we needed to be sure the registered manager would be available to support the inspection. We also needed to obtain consent from people using the service to be contacted by us to obtain feedback on their experience of using the service.

The inspection activity started on 2 December 2022 by meeting the registered manager at the head office. We then made phone calls to people using the service and staff, and inspection activity ended on 13 December 2022.

What we did before the inspection

We reviewed the information we had received about the service since they registered with us, including any statutory notifications received. 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 of this information to plan our inspection

During the inspection

We spoke with the registered manager who was also the director and the second newly appointed director. We spoke with a person using the service, a relative and two care workers about their experiences of the care provided. We reviewed a range of records including care and staff records and records relating to the management of the service.

Updated 18 January 2023

About the service

Reni Care Personnel Ltd is a domiciliary care service providing personal care to people in their own homes. 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. At the time of the inspection two people were receiving personal care who were funded privately or by direct payments.

People’s experience of using this service and what we found

People were at risk of receiving care from unsuitable staff because safe recruitment processes had not been established. The two directors, one of whom was the registered manager, lacked understanding of the importance of safe recruitment with one director bringing staff they worked with previously into the business, without satisfactory checks. The second director had accepted the staff to work in their business without insisting checks were carried out beforehand. This showed good governance processes of the provider were lacking in overseeing safe recruitment.

The registered manager understood their responsibility to notify CQC of significant events, such as allegations of abuse, as required by law, although they told us none had been required. The registered manager understood their roles and responsibilities, although knowledge of safe recruitment could be improved. Staff understood their role and responsibilities. The registered manager engaged and consulted with people using the service and staff. Staff felt well supported by the registered manager. Both directors cared for people directly and so understood people’s needs and preferences.

People received the right support in relation to their individual risks. There were enough staff to support people safely and staff timekeeping was not a concern. People were satisfied with the infection control processes staff followed. People received the right support in relation to their medicines.

People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

All staff had recently transferred to the organisation through the new director to work with clients they supported previously. They had not been provided with an induction through this care agency. The registered manager told us they were putting together an induction and training package for staff. Staff had received training prior to joining this agency. A system of support and supervision for staff was being put in place by the registered manager. People were supported to maintain their health and to see health and social care professionals when this was an agreed part of their care. People received food and drink of their choice.

People liked the staff who supported them and developed good relationships with them. People received consistency of care from regular number of staff who knew them well. People were supported to maintain their independent living skills as far as possible and staff treated people with dignity and respect. People were involved in their care and their care plans were based on their individual needs and preferences. People were encouraged to raise any concerns or complaints.

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 4 October 2018, although for most of that time they were not providing personal care. This is the first inspection since they recently began providing personal care.

Why we inspected

We undertook this inspection due to the length of time since registering with us in October 2018. The service had not been providing a regulated activity for most of this time and only recently began providing personal care to people.

Enforcement

We have identified breaches in relation to ft and proper persons employed at this inspection. You can see the action we told the provider to take at the back of the full length report.

Follow up

We will request an action plan from the provider to understand what they will do to improve in relation to the breach. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.