Background to this inspection
Updated
22 April 2023
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 Health and Social Care Act 2008.
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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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 provider or registered manager would be in the office to support the inspection.
Inspection activity started on 15 February 2023 and ended on 17 March 2023. We visited the location’s office on 17 February 2023.
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 was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We met with the registered manager. We looked at records the provider used for managing the service, including the care records for 2 people who used the service, 3 staff files, and other records used by the provider for monitoring the quality of the service. We spoke with one person who used the service, one relative and 3 care workers after the inspection.
Updated
22 April 2023
About the service
Stellar Healthcare Solutions Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of our inspection 2 people with care needs were using the service.
People’s experience of using this service and what we found
The provider had quality monitoring processes in place, but these were not always effective as the areas that required improvement seen during the inspection had not been identified through the provider's monitoring process. Risk mitigation plans were not always robust.
People were satisfied with the care provided and felt safe. The provider followed safe recruitment practices and staff received appropriate training to meet people’s care 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.
Care plans provided information about people’s care needs and how they would like their care to be provided. People were supported by the same staff who were kind and caring.
People using the service, relatives and staff told us the registered manager was approachable and involved in the day to day running of the service.
The provider had procedures for managing incidents, accidents, safeguarding alerts and complaints, but had not yet had any.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 9 April 2019. On 27 May 2021, we undertook a focused inspection to review the key questions of responsive and well-led only. However, there was insufficient evidence to rate the service. Therefore, this is the first rated inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to safe care and good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.