Elite Domiciliary Care PVT Ltd

Elite Domiciliary Care PVT Limited is a care agency providing personal care to 51 people. The service provides support to adults with physical disabilities, dementia, sensory impairments and with learning disabilities or autistic spectrum disorders.

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

Quality checks needed to be more robust. People told us they wanted more consistent staff. People had detailed care plans and risk assessments in place. Lessons were learned when things went wrong, and improvements were made. Staff were safely recruited and completed appropriate training. People were kept safe from risk by staff who understood safeguarding policies and procedures. Medicines were safely managed. People were protected from the risk of infection by staff wearing the appropriate Personal Protective Equipment (PPE).

Staff accessed information electronically through an app on their phones. Staff supported people to maintain independence and understood to seek consent when supporting people with their care.

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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Staff were caring and people felt listened to. Staff were responsive to people’s needs; amending care plans and taking into account feedback from questionnaires. People’s communication needs were considered. Staff received end of life training and people had information in their care plans about end of life discussions.

Staff felt the manager was approachable and fair. The manager understood their duty of candour. The provider worked in partnership with other organisations.

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 23 January 2020 and this is the first fully comprehensive inspection. However, we did carry out a focussed inspection of safe and well-led (published 16 February 2021).

Why we inspected

We received concerns in relation to quality of care and staffing levels. As the provider had also moved premises, we undertook a comprehensive inspection. The overall rating for the service is good based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns.

You can read the report from our last focussed inspection by selecting the ‘all reports’ link for Elite Domiciliary Care PVT Ltd on our website at www.cqc.org.uk.

Follow up

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

Elite Domiciliary Care PVT Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to younger and older adults with a varying level of personal care needs. At the time of inspection 96 people were using the service.

People’s experience of using this service and what we found

Where people were prescribed 'as required' (PRN) medication, the service did not always have protocols to support people and highlight to staff when to administer the medicine.

The provider could not always evidence that they received a full employment history for members of staff.

The provider had a range of audits they completed on a monthly basis. However, they were not always effective in finding issues that were found during the inspection.

Where people required support with moving and handling, risk assessments were in people’s care files to guide staff to safely support people.

People and relatives told us staff wore the appropriate PPE when entering their homes and giving personal care.

People and their relatives were positive about the support they received from 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

The last rating for this service was good (published 19 July 2019). You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Elite Domiciliary Care PVT Ltd on our website at www.cqc.org.uk.

Why we inspected

We received concerns in relation to people's care and how the service was promoting people's

safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this

occasion were used in calculating the overall rating at this inspection. The overall rating for the service has

changed to requires improvement. We did not inspect effective, caring and responsive due to us wanting to limit ourselves and spend the least amount of time in the service as possible.

Follow up

We will aim to re-inspect this service within the published time scale for services rated requires improvement. We will continue to monitor the service through the information we receive.