Pure Care Today Limited

Pure Care Today Limited is a domiciliary care service which provides care to people in their own homes. At the time of the inspection the service was supporting three people.

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

Recruitment practices had not been sufficiently robust to ensure staff were safe and suitable for their roles. Relatives were mainly positive about the staff team, one family told us they felt a carer had lacked the experience and skills to care for their family member properly.

At the time of the inspection the registered manager had not been available for some weeks. Staff told us since this change had occurred there had not been any support to keep up with COVID-19 testing. This meant that staff testing was no longer being completed in line with government guidance. The representative of the provider put an action plan in place to address this.

Staff told us they had felt unsupported in recent months. Management oversight of the service had been lacking since the registered manager had not been available, this had meant that staff had not received the ongoing support and training they needed. There was also a lack of monitoring of staff testing for COVID-19.

Relatives told us that most staff followed good infection prevention control practices. One relative told us; “[The staff] are very good with the cleaning.”

People’s care plans and risk assessments were personalised, detailed and included information about their preferences and what they could do for themselves. Staff were able to describe people’s care needs well.

People were supported to be as independent as they could and were treated with dignity and respect.

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.

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 11/04/2019 and this is the first inspection.

Why we inspected

This was the first inspection of the service since it’s registration.

Enforcement

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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to lack of oversight of staff recruitment and staff testing for COVID-19 at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.