Mrs Nina Glarvey

Updated 9 June 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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 17 March 2023 and ended on 28 March 2023. We visited the location's office on 21 March 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We reviewed information we received from the local authority, professionals who work with the service and Healthwatch. 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 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 2 people who used the service and 6 relatives to gather feedback on the care and safety of the service.

We spoke to staff, including a senior care assistant and the registered manager who was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 2 people's care records, multiple medication records and maintenance and safety certificates. We looked at a variety of records relating to the management of the service, including 3 staff recruitment records and quality assurance procedures.

Updated 9 June 2023

About the service

Mrs Nina Glarvey is a domiciliary care agency providing the regulated activity of personal care to people who live in their own homes. At the time of our inspection there were 21 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

Recruitment processes were in place; however, not entirely robust. We have made a recommendation about this.

Procedures to keep staff safe in their work were not always in place. Staff meetings were not taking place on a regular basis and documentation of any meetings was not kept. Training records and training development plans were not up to date. Supervisions were not taking place regularly in line with the company policy.

People's feedback of the service was positive. People were supported with their medication and staff were trained in this. People had person-centred care plans in place which considered their preferences.

Risks to people and staff had been assessed with appropriate measures in place to help protect them. The registered manager had oversight of processes to monitor the safety of people and staff.

People told us staff always maintained their dignity and privacy when providing 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.

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 28 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We have found evidence that the provider needs to make improvements. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mrs Nina Glarvey on our website at www.cqc.org.uk.

Recommendations

We recommend the provider reviews their recruitment procedures to ensure records demonstrate best practice guidance. At the time of inspection, best practice guidance was not followed, and this was not identified by the provider. We recommend the provider reviews their recruitment procedures and improves their governance system to include audit processes and training and supervision records and takes actions to ensure they demonstrate best practice. The provider has taken action to amend practices since the inspection.

Follow up

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