Pacific Care Services Limited

Updated 8 August 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority who work with the service. This information helps support our inspections.

During the inspection-

We reviewed a range of records. These included two people’s care records. We also looked at two staff recruitment files and the training records of all staff. We reviewed records relating to the management of the service and a variety of audits implemented by the provider.

We spoke with two people who used the service about their experience of the care provided. We spoke with three members of staff including the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

After the inspection

We spoke to the registered manager as they were not present on the day of inspection.

Updated 8 August 2019

About the service

Pacific Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of inspection two people were receiving support.

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

Care plans did not always detail what care and support people needed and there was a lack of specific risk assessments in place for people. Medicines were not always managed safely, people did not have up to date information in relation to medicines they were taking. Staffs competency wasn’t checked to ensure they were safe to administer medication. People told us they felt safe when staff visited them. Staff were recruited safely and there were enough staff to take care of people.

People’s needs were assessed, and outcomes recorded. People were offered a choice of food and drink when staff were preparing meals. The service worked with other health care professionals. Staff were receiving appropriate training and they told us the training was good and relevant to their role. Staff were supported by the management team. Staff received supervision, but this was not recorded.

People who used the service told us staff were kind and caring. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems at the service supported this practice. People told us staff treated them with dignity and respect, they were involved with the planning of their care and their views were listened to.

There was a complaints procedure and people knew how to complain, however the service was not recording complaints in a formal way. Peoples likes, and dislikes were not recorded in people’s care plan, however, staff knew people and their preferences well. People’s communication needs were not recorded in their plans.

Everyone spoke highly of the registered manager who they said was approachable and supportive. The provider and registered manager understood the regulatory requirements; however, they did not monitor the quality and safety of the service on a regular basis. People told us they thought the service was well led

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 July 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the services registration date.

Enforcement

We have identified two breaches at this inspection in relation to not doing all that is reasonably practicable to mitigate risks, this is a breach of Regulation 12: Safe care and treatment. Not monitoring the quality and safety of the services provided in the carrying on of the regulated activity. This was a breach of Regulation 17: Good governance.

Please see the action we have told the provider to take at the end of this report.

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.