Passion Recruitment Agency

Passion Recruitment Agency is a domiciliary care service providing personal care and support for people in their own homes. At the time of the inspection, they were providing support with personal care for two people.

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

People’s risks were identified but staff were not always provided with guidance with actions they could take to reduce the possible risks. When a fall occurred care plans and risk assessments were not always updated and effective actions to reduce possible risk were not always identified. The provider had a process for the administration and recording of medicines, but this was not always followed. The provider had audits in place which were used to monitor the quality and recording of the care provided but these were not always robust enough to identify issues requiring action. We have made a recommendation for the provider to review the guidance on managing medicines in the community.

Relatives felt their family members were safe when they received care in their own home. The provider had made improvements to their recruitment process which enabled them to identify new staff with the required skills and experience for the role.

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. Staff completed appropriate training so they could meet people’s care and support needs. Staff felt supported by the management. People’s care needs were assessed and people with their relatives were involved in the development of their care plans.

Relatives were happy with the care their family member received. Relatives were aware of the process to raise any concerns about the care but they had not had cause to do so.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 June 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 9 March 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, staffing, fit and proper persons employed and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this focused report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained as requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Passion Recruitment Agency on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Passion Recruitment Agency is a domiciliary care service providing personal care and support for people in their own homes. At the time of the inspection they were providing support and personal care for one person.

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

The provider did not always assess and mitigate identified risks to ensure care workers were provided with adequate information on how to reduce possible risks. When care workers were recruited the provider did not always follow their own procedures and completed appropriate checks to make sure the new care workers had the required skills. Care workers had not always received training to enable the provider to be assured the care workers had the appropriate skills and knowledge to provide care in a safe manner. The provider did not have robust quality assurance procedures to enable them to identify issues and implement actions to make improvements when required.

The provider had developed procedures for the management of medicines and the investigation of safeguarding concerns and incidents and accidents. 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.

The person receiving support felt they were safe and was happy with the care provided. They felt the care worker treated them with respect and helped them be as independent as possible. People’s nutritional and health support needs were identified as part of the care plan.

Care plans identified how the person wanted their care and support to be provided. Information on how to raise any concerns was provided to people receiving support. The person receiving support and the care worker felt the service was well run.

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 2 November 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to safe care and treatment, staffing and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.