Background to this inspection
Updated
13 September 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 Care Act 2014.
Inspection team
This inspection was conducted by 2 inspectors.
Service and service type
This service is a domiciliary care agency. It can provide personal care to people living in their own houses and flats.
The service had a registered manager. 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
This inspection was unannounced.
Inspection activity started on 26 June and ended on 17 July 2023. We visited the office locations on 26 June and 3 July 2023.
What we did before the inspection
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 reviewed information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority safeguarding team, commissioning team, and Healthwatch Leeds. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager and with one staff member.
We reviewed a range of records. We reviewed blank care documentation, including medication records the provider told us they would use when they started providing a regulated activity. We looked at one staff file in relation to recruitment, training and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Overall inspection
Insufficient evidence to rate
Updated
13 September 2023
About the service
Victorletticia Care services is a domiciliary care service registered to provide personal care to adults. At the time of our inspection, the service was not providing any care. As a result we were unable to provide a rating for this service.
People’s experience of using this service and what we found
We could not gather the experience of people using the service or their relatives because direct care to people was not being provided at the time of our inspection.
We found some aspects related with the management of the service needed improvement. These related with the registered manager’s knowledge around their responsibilities to inform CQC of relevant changes happening with the service and other statutory notifications. We found some aspects of how the recruitment policy and mental capacity act requirements was applied needed improvement. We made a recommendation in relation to this area.
There were policies and procedures in place to ensure people were supported safely including with the management of their medication, to prevent the spread of infections and in case of any accidents or incidents.
Care was planned in a way where people were supported to have maximum choice and control of their lives and for staff to support people in the least restrictive way and in their best interests. The policies and systems in place supported this practice. There were systems in place to provide support with additional training and ongoing support.
Care planning documentation was centred around people’s needs and preferences.
There were quality assurance policies and procedures in place but these had not been used yet used by the service.
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 3 July 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We made a recommendation in relation to good governance.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.