Background to this inspection
Updated
21 December 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 Health and Social Care Act 2008.
Inspection team
One inspector carried out this inspection. An Expert by Experience supported the inspection by making calls to people and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 short 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 29 November 2022 and ended on 8 December 2022. We visited the location’s office on 8 December 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with 2 people who used the service and 10 relatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager and care workers. We reviewed a range of records. This included 5 people’s care records and 5 medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
21 December 2022
About the service
Perfect Call Health Care Main Office is a domiciliary care service providing personal care to 19 people at the time of the inspection. 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
Effective safeguarding procedures were in place to protect people from the risk of abuse and people felt they received a safe service.
Risks were assessed, and controls put in place to minimise the risk of harm to people. People received their medicines safely and as prescribed. There were enough staff deployed to meet people’s needs. Improvement was needed to ensure staff were safely recruited and we have made a recommendation about this.
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. Staff received a variety of training to improve their skills and knowledge and worked with other organisations to deliver effective care, support and treatment.
People were supported by kind, caring staff who treated them with dignity and respect. People were involved as partners in their care.
People received personalised care which met their needs. Care plans were detailed and accurate. People and relatives told us they knew how to make a complaint and felt their concerns would be listened to and acted upon.
The provider had improved their governance of the service. People and their relatives thought the service was well-led and told us they would recommend the service to others. The service provided was person-centred and the registered manager and their team were committed to supporting people to achieve positive outcomes.
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
The last rating for this service was requires improvement (published 2 June 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Recommendation
We have made a recommendation about recruitment.
Why we inspected
We undertook this inspection to check the provider had followed their action plan and to confirm they now met legal requirements.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Perfect Call Healthcare on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.