Background to this inspection
Updated
7 April 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
The inspection was carried out 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 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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.
What we did before the inspection
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. We reviewed information about the service and used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with five members of staff including the registered manager and care staff.
We reviewed a range of records. This included three people’s care records and two people’s medicines records. We looked at four staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one professional who has visited the service.
Updated
7 April 2020
About the service
Ronti Care Solutions is a domiciliary care agency. 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. At the time of the inspection Ronti Care Solutions was providing personal care to three people living in their own homes.
People’s experience of using this service and what we found
The service had not always ensured staff were safely recruited. Recruitment checks were not always completed prior to staff starting work. Following our inspection, the registered manager responded promptly, reviewing their recruitment processes and sending us confirmation staff documentation was now in place. We have made a recommendation about the safe recruitment of staff.
People told us they received their medicines as prescribed; however, the systems in place for managing medicines safely were not always effective. People’s medicines records were not always completed accurately and staff competency to administer medicines had not always been assessed. We have made a recommendation about the safe management of medicines.
Risks to people had been assessed; however, not all risks relating to people’s specific health needs had been considered. Following our feedback, the registered manager reviewed and updated the risk assessments to ensure these were included. People’s care plans were personalised and reflected their individual preferences.
People told us they felt safe. Staff knew how to protect people from the risk of abuse and how to raise any concerns.
Staff felt supported by the registered manager and were in the process of completing a range of training relevant to their role.
People and relatives told us the staff were kind and caring and spoke positively about the registered manager and the service. People were involved in making decisions about their care. Staff were respectful of people’s dignity and privacy.
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 were supported to access healthcare services when needed; however, people’s oral health needs had not been assessed by the service. We have made a recommendation about supporting people with their oral health.
The registered manager was introducing systems to monitor the quality and safety of the service. People and relatives knew how to raise concerns and told us they were confident action would be taken to address these. The registered manager asked people, relatives and staff for regular feedback and worked closely with them to develop and improve the service.
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 1 March 2019 and this is the first inspection.
Why we inspected
This was a planned inspection to check the quality of the service.
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.