Background to this inspection
Updated
30 April 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 conducted by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 24 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 29 March 2022 and ended on 6 April 2022. We visited the service’s office on 29 March 2022.
What we did before the inspection
We reviewed information we had received about the service since they were registered, including notifications. Notifications are information about specific important events the service is legally required to send to us. 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. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed a range of records, including seven people’s care records and medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke to five people who use the service and three people’s relatives. We spoke to four staff members and sought feedback from the local authority and professionals who work with the service. We reviewed records relating to staff training and quality assurance records.
Updated
30 April 2022
About the service
Pacific Care Services Limited - Isle of Wight is a domiciliary care agency which provides support and personal care to people living in their own home. 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. At the time of our inspection 10 people were receiving a regulated activity.
People’s experience of using this service and what we found
Risk assessments were completed for people which identified risks but required further detail to ensure staff had the information they needed to mitigate those risks.
Staff had completed training in the safe administration of medicines. People were happy with how they were supported around their medicines. However, medicines systems needed some additional information to improve staff understanding of potential risks to people.
People told us they felt staff kept them safe. Staff understood the importance of safeguarding people, and they knew how to report any signs of abuse, or any accidents and incidents. Staff followed best practice guidelines regarding COVID-19 and the prevention and control of infection.
People told us staff visited as planned and they were punctual. The registered manager and provider had processes for monitoring visits and ensured they contacted people when they were held up or running late.
Appropriate recruitment procedures were in place to help ensure only suitable staff were employed. Staff received an induction into their role and had received appropriate training that equipped them to support people using the service. Staff told us they received opportunities to reflect on their work through discussions with the registered manager and senior staff and felt well supported.
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.
People told us they felt involved in decisions about their care and staff were caring and kind. Care plans contained person-centred information that reflected people’s choices, life history and how they wished to be supported.
People were treated with dignity and respect. Staff understood the importance of supporting
people to maintain their independence. Staff monitored people's health and wellbeing and sought medical guidance and support when necessary. People were aware of how to raise their concerns and were confident these would be addressed.
People and staff spoke highly of the registered manager and provider and their values were
evident through the management of the service. Audits were undertaken to ensure issues identified were acted on swiftly. People's views were sought to monitor and improve the service delivery. The registered manager placed importance of working in partnership with external professionals to make improvements where needed.
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 21 December 2020 and this is the first inspection.
Why we inspected
We carried out a comprehensive inspection, so we were able provide a rating for the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.