Background to this inspection
Updated
7 May 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
The 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ 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 25 March 2022 and ended on 5 April 2022. We visited the location’s office on 29 March 2022.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service but we received no feedback. 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 one relative about their experience of the care provided. We were unable to speak with the person who used the service because they were unavailable. We spoke with only one member of staff and the registered manager.
We reviewed a range of records. This included the person’s care records and risk assessments. We looked at three 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
7 May 2022
About the service
PSA Home Care Ltd is a domiciliary care service providing personal care to adults living in their own home. At the time of the inspection, only one person was using the service. The service provided support for mainly older people.
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
Feedback from the relative we spoke with was positive. They told us staff were very supportive and caring.
The person received safe care and support from PSA Home Care Ltd. Staff knew what their responsibilities were in relation to keeping the person safe from the risk of abuse. The provider followed safe recruitment practices.
Care plans contained detailed risk assessments. These mitigated any identified risks. Environmental risk assessments were also in place, which identified and reduced any environmental risks to the person and staff.
The person’s needs were assessed prior to receiving support including their protected characteristics under the Equalities Act.
Robust recruitment processes were in place. This ensured suitable staff were working with people. Staff were skilled in carrying out their role. The registered manager ensured staff were appropriately trained. Staff said, “I completed an induction before starting. I did other trainings too.”
Staff were caring and always respected, protected the person’s dignity and independence. Staff gave the person choices in their care daily.
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 example, staff had the information they needed to support the person to make choices. Staff knew people had the right to make unwise decisions.
The service had a system in place to assess, monitor and improve the quality and safety of the services provided.
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 5 February 2020 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 23 July 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.