Rubies Limited

Updated 17 August 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 and flats.

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.

What we did before inspection

We reviewed information we had received about the service since registration. 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. We looked at a variety of records relating to the management of the service, including some policies and procedures.

We spoke with people who used the service and their relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, care workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 17 August 2022

About the service

Rubies Limited is a domiciliary care agency, providing personal care to people living in their own homes. At the time of our inspection there were three people using the service.

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

People received a service which was person-centred and met their needs. Risks associated with people’s needs had been identified and were managed safely. Staff had a good understanding of the provider’s safeguarding process and knew what action to take if they suspected any abuse.

The provider ensured staff wore appropriate personal protective equipment (PPE), and were mindful about infection prevention and control.

The provider had systems in place to ensure people were supported to take their medicines as prescribed. We found people received this support in a safe way.

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.

The provider had a system in place to ensure staff were recruited safely. Staff informed us they received appropriate training to carry out their role in a safe and effective way. Staff told us they felt supported by the management team. Staff felt valued and involved in the service.

Care plans detailed people’s needs and preferences and staff were knowing people well. People were supported to maintain good health and staff liaised with health care professionals when required. There was a complaints policy in place and people felt they could raise concerns and would be listened to.

The provider had effective systems in place to monitor the quality of the service. This process helped identify any concerns or areas for improvement and gave clear actions to rectify them in a timely way.

The provider sough feedback from people, their relatives, staff and other professionals. This feedback was used to develop 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 11 November 2020 and this is the first inspection.

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.