Background to this inspection
Updated
15 January 2021
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 two inspectors.
One inspector visited the service location. To support the inspection, one inspector contacted those using the service and those who were working with the service, to gain their view of the care provided.
Service and service type
Romis Care Services Ltd 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. For this service the provider was registered as the registered manager.
Notice of inspection
This inspection was announced. We gave the service notice of the inspection because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 26 November 2020 and ended on 11 December 2020. We visited the office location on 10 December 2020.
What we did before the inspection
Prior to the inspection, we reviewed the information we held about the service. The provider was not asked to complete a provider information return prior to this inspection as this process had been suspended due to the pandemic. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took account of all information received when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service and one relative about their experience of the care provided. We spoke with four members of staff which included the provider/registered manager, and care workers. We spoke with one professional who works with the service.
We reviewed a range of records. This included two people’s care records and one medicine record. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
15 January 2021
About the service
Romis Care Services Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of inspection, Romis Care Services Ltd were providing a service to seven people, with two people receiving 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
People and relatives spoke positively about the care provided by the service. They received care from regular staff who never missed a call and stayed for the allocated time.
People were safeguarded from harm and were confident that if they reported any concern, it would be dealt with appropriately by the registered manager.
Risks were assessed and monitored to keep people safe. The service followed government guidance in relation to the pandemic. Staff had received infection control training and had appropriate personal protective equipment.
Medicines administration was supported ensuring people received their medicines as prescribed. There was one person receiving medicines and the registered manager monitored administration records weekly.
We made a recommendation as the service developed, in relation to the medicine audits the provider already had in place.
Care plans were person-centred, and the registered manager and staff knew the needs of people well. Assessment processes were in place and people were referred to professionals for specialist advice in a timely manner.
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.
People told us that staff treated them with dignity, were caring and kind and supported their independence. People were supported to express their views during assessment reviews and when care was delivered.
Staff were recruited safely, although additional information would make this process more robust.
We made a recommendation in relation to staff recruitment.
The service had an induction programme which included staff completing the Care Certificate. Staff received training and supervision and the registered manager carried out spot checks to monitor staff competency. Staff told us that the registered manager was approachable and supportive.
The registered manager had a clear vision for providing quality care and had policies, procedures and quality monitoring processes in place to support care practice as the service develops.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating
This service was registered with us on 21 November 2018 and this is the first inspection.
Why we inspected
The inspection was undertaken as the service had not been inspected since it was registered. We looked at infection prevention and control measures under the Safe key question. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
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.