2 December 2022
During a routine inspection
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.