9 July 2015
During a routine inspection
This inspection took place on 9 July 2015. Real Quality Care Limited is a domiciliary care service which provides personal care and support to people in their own home in Nottingham. On the day of our inspection 7 people were using the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff took the necessary steps to keep people safe and understood their responsibilities to protect people from the risk of abuse. People received the support required to safely manage their medicines. Risks to people’s health and safety were managed and detailed plans were in place to enable staff to support people safely. There were enough staff to meet people’s care needs.
Staff were provided with the knowledge and skills to care for people effectively. People received the support they required to have enough to eat and drink. Where required, staff monitored people’s nutritional intake and acted on any concerns.
The Care Quality Commission (CQC) monitors the use of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The provider was aware of the principles of the MCA and how this might affect the care they provided to people. Where people had the capacity they were asked to provide their consent to the care being provided.
Positive and caring relationships had been developed between staff and people who used the service. People were involved in the planning and reviewing of their care and making decisions about what care they wanted. People were treated with dignity and respect by staff who understood the importance of this.
People were provided with care that was responsive to their changing needs and staff were aware of people’s care needs. People felt able to make a complaint and knew how to do so. The complaints that had been received were responded to appropriately and in a timely manner.
People and staff were asked for their opinions about the quality of the service. There were effective systems in place to monitor the quality of the service and these resulted in improvements where required. The culture of the service was open and honest and the registered manager encouraged open communication.