Background to this inspection
Updated
7 January 2020
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
Our inspection was completed by 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 the registered manager or provider would be in the office to support the inspection. Inspection site visit activity took place on 25 November 2019.
What we did before the inspection
We reviewed information we had received about the service. The provider was not asked to complete a provider information return prior to this inspection. 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 this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records including two people’s care records including risk assessments and four staff files in relation to recruitment and supervision. A variety of records relating to the management of the service including staff training and quality assurance were reviewed.
After the inspection
The provider sent us documentation we requested. We contacted the local authority to seek their views about the service. We spoke with two relatives of people who used the service, one care staff member and one nurse staff member.
Updated
7 January 2020
About the service
Healthcare Professionals Recruitment Services Ltd is a domiciliary care service providing personal care and nursing care to adults and children. Personal care is help with tasks related to personal hygiene and eating. At the time of inspection there were two children receiving a personal care and nursing care service and no adults receiving a service.
People’s experience of using this service
People using the service had risk assessments carried out to protect them from the risks of avoidable harm. Staff were knowledgeable about safeguarding and whistleblowing procedures. Medicines were managed safely and people were protected from the risks associated with the spread of infection. The provider had a system to record accidents and incidents.
Staff were supported in their role with training, supervision and appraisals. People’s care needs were assessed before they began to use the service so the provider could be sure they could meet their care needs. Staff supported people with their nutritional, hydration and healthcare needs.
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 provider and staff understood the need to obtain consent before delivering care.
Staff demonstrated they knew people and their care needs well. Relatives told us staff were caring. The provider and staff understood how to provide a fair and equal service. Staff understood how to involve people and relatives in making choices. People’s privacy, dignity and independence were promoted.
Care plans were detailed and personalised. Staff understood how to provide a personalised care service. The provider understood how to meet people’s communication needs. Relatives knew how to make a complaint if they needed to. The service had a policy in place to provide people with end of life care if required.
Staff and relatives spoke positively about the leadership in the service. The provider had systems in place to capture feedback from people and relatives about the quality of the serve provided. The provider carried out various quality checks to identify areas for improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 25 January 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.