We carried out a review of the data available to us about Rapid Improvement Care Agency on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rapid Improvement Care Agency, you can give feedback on this service.
This service is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection there was one person using the service.
People’s experience of using this service
People were treated with care and compassion. The person using the service told us they consistently received care from the same care worker who knew them well. The provider ensured that people’s communication needs and decision-making abilities were assessed and supported. People received support in line with their cultural needs.
There were clear procedures to safeguard people from abuse and the provider carried out appropriate checks to ensure staff were suitable for their roles. Risks to people’s wellbeing were assessed and reviewed regularly.
Staff received enough training and supervision to carry out their roles and the service regularly checked staff were competent. The service assessed people’s care needs in detail and ensure people received the right support to stay well and eat and drink enough. 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; however, the policies and systems in the service did not always support this practice. This was because there was not a clear process to follow in the event people lacked capacity to make decisions.
Care was planned to meet people’s needs, including their cultural and religious needs, and these were reviewed regularly. Care workers did all that was needed and kept accurate records of this. People were supported to go out and do activities if they wanted to. There was a clear process for making complaints, but no-one had had cause to.
Managers visited people regularly to make sure they were satisfied with their care and engaged well with staff. Audit systems were in place to make sure care was of a high quality, but we found one area where this needed to develop to ensure regulations were still followed if the service grew in size.
We have made two recommendations about improving how the provider assesses people’s capacity to make decisions and about auditing personnel records.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
We last inspected this service on 15 May 2019. We did not have enough evidence at the time to rate the service.
At our last inspection we found a breach of regulations concerning how the provider managed medicines. At this inspection we found the provider was meeting this regulation; there were suitable processes to manage medicines safely.
Why we inspected
This was a planned inspection based on the last inspection’s findings.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
‘Rapid Improvement Care Agency Central London Branch’ is a domiciliary care agency that provides care and support to people living in their own homes. At the time of our inspection there was one person using the service. We were able to carry out an inspection but we could not rate the quality of the service as we had insufficient evidence on which to do so.
People’s experience of using this service:
The person using the service told us they were happy with their care worker and that managers came round regularly to make sure things were going well.
The person’s care needs were assessed and the service followed a care plan which met these. Care plans were reviewed regularly and when the person’s needs had changed.
The provider had policies and procedures to address complaints and incidents and to safeguard people from abuse. We saw examples of how the provider had used these effectively in other services they ran but they had not had cause to use these in this service.
Care workers received suitable training in safeguarding adults and understood their responsibilities to report abuse and were confident managers would take this seriously. The provider assessed risks to people and had suitable plans in place to manage these.
People received appropriate support to eat and drink in line with their preferences and care workers understood the person’s health needs.
Care workers received appropriate training and supervision to carry out their roles and managers carried out regular checks to ensure that care was being delivered to a good standard and offered support as required.
When people were supported with their medicines care plans did not reflect the support people required and the service did not maintain appropriate records of this. This was also a breach of regulations.
Rating at last inspection:
This was the first inspection since the provider registered this location in May 2018.
Why we inspected:
This was a first ratings inspection.
Enforcement:
We found a breach of regulation relating to good governance. You can see what action we have told the provider to take at the back of the full version of this report.
Follow up:
We were not able to rate the service at this time and will return to complete a further inspection in line with our re-inspection guidelines. We will continue to monitor intelligence we receive about the service until we return. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.