P&R Health Care Solutions

Updated 10 February 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 Care Act 2014.

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 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 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.

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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and five relatives about their experience of the care provided. We spoke with the registered manager, the director and two members of care staff.

We reviewed a range of records. This included four people’s care records and medication records. 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 10 February 2022

About the service

P&R Health Care Solutions is a domiciliary care agency, providing personal care to people living in their own homes. At the time of the inspection there were five people using the service.

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

There were systems and processes in place to help safeguard people from the risk of abuse. Appropriate risk assessments were in place with guidance around how to minimize the risks. Staff were aware of infection control procedures and used personal protective equipment as required. Medicines were managed safely at the service.

People’s told us staff were kind and they were well cared for. People’s needs were thoroughly assessed and regularly reviewed to ensure relevant changes could be made to their care plans. People told us communication with the care staff and management team was excellent and their views and choices were respected.

Staff were recruited safely and all appropriate documentation was evident within staff files. There was a thorough staff induction and training was on-going. Staff said they were well supported by the management and they felt it was a good agency to work for.

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.

Complaints were addressed promptly and appropriately Regular quality assurance audits were completed and any issues picked up were addressed with appropriate actions. The service worked well with other professionals and agencies.

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 19 October 2020 and this is the first inspection.

Why we inspected

This was a planned inspection to look at all five domains and to rate the service.

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.