Background to this inspection
Updated
14 October 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 team consisted of one inspector.
Service and service type
Rosebank 2 is a domiciliary care agency registered to provide personal care to people 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 CQC 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 not a registered manager in post. Until a registered manager was appointed, the nominated individual was responsible for supervising the management of the service on behalf of the provider.
Notice of inspection
We gave the service two working days' notice of the inspection because the service provides care to people in their own homes and we wanted to make sure that management were available on the day of the inspection site visit.
We visited the office location on 5 September 2022.
What we did before the inspection
We reviewed information we had received about the service since it was registered with the CQC. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
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.
During the inspection
During the site visit we met and spoke with the nominated individual and the deputy manager. We reviewed records relating to the management of the service.
We spoke with one person’s relative. We also spoke with one care worker. We looked at one person’s care records and medicine records as well as records relating to the management of the service and the safety and quality of people's care. We also looked at records showing us how staff were recruited and trained. We reviewed quality assurance records, policies and procedures. We contacted one care professional to obtain feedback but had not received a response by the time of this report being completed.
Updated
14 October 2022
About the service
Rosebank 2 is a domiciliary care agency registered to provide personal care to people in their own homes. The services they provide include personal care, housework and medicines support. At the time of inspection, the service provided personal care to one person. The Care Quality Commission (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:
The person using the service was unable to speak with us due to their needs. The person's relative spoke positively about the service and the care provided to their family member. They were confident their family member was safe when in the presence of care workers.
Systems were in place to protect people from abuse. These included safeguarding policies and appropriate training for staff. Staff understood how to protect people from poor care and abuse. Personalised risk assessments helped keep the person safe and supported their independence.
Personalised care was provided to the person from a small, consistent staff team who valued the relationships they had built with the person.
Recruitment procedures were in place. The suitability of staff was assessed before they were recruited to support people using the service. Care staff were punctual and stayed the agreed amount of time.
Suitable infection control practices helped to prevent and control the spread of infections including COVID-19.
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.
An assessment of people’s needs and preferences was carried out prior to the development of care plans. These provided the information and guidance staff required to ensure people's individual needs were met in the way they wanted. Care plans were person centred.
Staff received appropriate training to carry out their role effectively. Care workers told us they were well supported by management. Care workers spoke positively about morale and told us they felt valued working at the service.
The service had a system in place to assess, monitor and improve the quality and safety of the services provided. However, the service had recently started providing services to people and was in the process of implementing checks and audits which had not yet been embedded in practice. We have made a recommendation about the management of governance systems.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The service was registered with us on 31 March 2021 and this is the first inspection.
Why we inspected
This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.
The inspection was prompted because the service has not had an inspection and a rating since it was first registered with us.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.