About the service Pure Care Services Ltd is a domiciliary service which provides personal care to adults with a range of support needs in their own houses and flats. At the time of this inspection the service was supporting four people with 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
The provider's auditing processes needed improvement to ensure records contained enough information to guide staff about people’s support needs. Staff recruitment procedures needed improvement.
Quality assurance checks were in place but had not identified some of the concerns raised during the inspection. The management were responsive to concerns highlighted and some changes were made immediately.
People were protected from abuse and relatives told us their loved ones received safe care. People received support from a regular staff team. Staff were trained in administering medicines safely. Competency checks had been completed to ensure staff were following safe practices.
Staff had received training in infection control and demonstrated an understanding of what personal protective equipment (PPE) should be used when supporting people. Relatives confirmed that staff wore PPE (personal protective equipment) when coming into people’s homes.
People's needs were assessed and staff with the right skills helped to meet these. Staff supported people with their eating, drinking and to access healthcare support.
People and their relatives were able to give feedback about their care in a variety of ways. Examples included care reviews and during spot checks monitoring staff performance.
There was an enthusiastic, positive and caring culture amongst staff at the service. Staff had good knowledge about the people they supported and told us they enjoyed working at the service. People's independence was promoted and respected.
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 16 June 2018 and this is the first inspection.
Why we inspected
This inspection was carried out due to the length of time the provider had been registered with CQC without receiving a formal rating.
We have found evidence that the provider needs to make improvement. Please see the well-led section of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.