Background to this inspection
Updated
11 September 2021
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 houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and we wanted to be sure the provider or registered manager would be in the office for the inspection.
Inspection activity started on 4 August 2021 and ended on 12 August 2021. We visited the office location on 4 August 2021.
What we did before the inspection
We reviewed information we had received about the service since it was registered. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and three relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager, senior care workers, and care workers.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
11 September 2021
About the service
Passion 4 Care is a domiciliary care agency providing personal care to adults and children with a range of support needs in their own homes. At the time of the inspection they were supporting 17 people who were all adults.
People’s experience of using this service and what we found
Staff did not always effectively record the monitoring of risks to people. The provider had however, identified this and put actions in place to ensure staff accurately recorded completed checks.
Staff did not always accurately complete people’s medicine administration records, we found for one person their medicine was required once a day but recorded up to four times a day. The registered manager, however actioned this immediately.
People were supported by staff who were trained to recognise and report on potential harm or abuse. Staff were safely recruited to support people. People’s relatives confirmed they had consistent staff who stayed for the duration of the calls. Staff received training in relation to infection, prevention and control, COVID-19 and in the use of personal protective equipment (PPE).
People’s needs were assessed and used to formulate a plan of care which were reflected of their choices. People’s individual needs were met by staff who were trained to support them. People were supported with their nutritional needs and to maintain a healthy diet. Staff worked with other health and social care professionals as and when required to meet people’s needs. People had access to health care services when required.
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.
People were supported by staff and treated well. People and their relatives were involved in the delivery of care and any decisions made. People’s privacy and dignity was respected, and staff promoted their independence.
People’s care was person centred and provided them with choice and control. People’s care plan detailed their communication needs. People were supported to maintain relationships and follow their interests, staff supported them to avoid social isolation. People and relatives knew how to complain, and when the provider received a complaint it was acted on.
Staff and managers shared an open and honest culture, which achieved good outcomes for people. Managers and staff were clear about their roles and the service involved and engaged staff and people using the service to improve care. The provider had quality assurances checks in place and when areas for improvement were identified they acted immediately to make changes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 10/10/2018 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about safeguarding concerns when supporting with personal care, call times, inconsistency in staff and medicine errors. A decision was made for us to inspect and examine those risks. We identified however; these concerns were not connected to this service. This service had been registered for some time and still required an inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.