Shri Hari Care Limited Also known as Heritage Healthcare Milton Keynes

Updated 25 August 2022

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

This 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 homes.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

Due to the nature of the concern we received, we did not give any notice of the inspection.

Inspection activity started on 21 July 2022 and ended on 25 July 2022. We visited the office location on 21 July 2022.

What we did before the inspection

We reviewed information we had received about the service and we sought feedback from the local authority. The provider sent us a provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and three relatives about the experience of the care provided by the service. We spoke with three care staff members and the registered manager. We reviewed a range of records. This included three care records. We looked at all the staff files who were currently employed by the service in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

We continued to seek clarification from the registered manager to validate evidence found, which was sent to us. This included revised quality assurance procedures and amendments to procedures.

Updated 25 August 2022

Shri Hari Care Limited is a domiciliary care agency, providing personal care to people in their own homes. At the time of inspection, 10 people were 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.

Everyone said they were satisfied with the care that staff provided and with the management of the service. They said safe care was provided or, if they had any concerns, the registered manager would swiftly act on the issue and put measures in place to ensure safe care. People were protected against abuse, neglect and discrimination.

Details of how to reduce risks to people's safety were included in people's care plans. Care plans reflected people’s individual needs.

Safe recruitment practices were in place to ensure only suitable staff worked at the service, though this had not been the case for a staff member who had provided personal care for over two months. The registered manager said this was a lesson learnt and would never be repeated.

Enough staff were employed to meet people's needs and timely calls were in place to provide personal care. Quality assurance systems were in place to try to ensure people were provided with a quality service.

People were protected against the risk of infection, though the registered manager had to remind some staff to continue to wear masks.

The registered manager understood their responsibilities and worked in an open and transparent way. Quality assurance measures were in place to help to produce a quality service personalised to people’s needs. People and relatives said the registered manager always listened to their views.

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

Why we inspected

The inspection was prompted by a concern we received that statutory checks had not been carried out when recruiting a staff member. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Shri Hari Care Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We will continue to monitor the service and will take further action if needed.