Passion 4 Care

Passion 4 Care is a care at home service providing personal care for 100 people at the time of inspection. The service provides support to people who are living with dementia, mental health or a physical disability. The service supports people in their own homes.

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

Staff frequently arrived late to people’s care call, and, on occasion people had experienced missed calls. Some people’s care plans, including their medication care plans required clearer guidance for staff to follow to ensure they were providing appropriate support. Staff did not always complete medication records correctly but there was no direct impact on people using the service. Recruitment records were not robust. Staff files contained incomplete application forms and gaps in their employment history. The provider undertook audits of the service but we found the audits had not highlighted the issues found during the inspection.

Steps had been taken to protect people from the risk of infection. Staff had the required skills and training to support people safely. People were supported to eat and drink. Staff treated people with kindness and respect. People were involved in making decisions about their care. Staff felt supported by the registered manager. The registered manager collected feedback from people and their relatives about the care people received. The provider worked with external agencies and professionals to ensure people received the support they needed.

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 28 June 2019 and this is the first inspection.

Why we inspected

This was a planned inspection.

We have found evidence that the provider needs to make improvements.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

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 monitor the service and will take further action if needed.

We have identified a breach in relation to the overall governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

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