Worlta Health Care Ltd

Worlta Health Care Ltd is a domiciliary care agency providing personal care. The service provides support to people living in their own homes. At the time of our inspection the service was providing personal care to 7 people.

People’s experience of using this service and what we found

People were safe using the service. The provider had systems in place to safeguard people from abuse. Staff had received relevant training and knew when and how to report safeguarding concerns to the relevant agencies.

Risks to people’s safety were managed well. Staff understood how to manage risks to people to keep them safe.

There were enough staff to support people and meet their needs. Staff attended care calls on time. People were supported by regular staff, so that the care and support they received was consistent.

After our last inspection the provider had improved their recruitment practices to make these safer. They now undertook more thorough and appropriate recruitment and criminal records checks on staff, to make sure they were suitable to support people.

Staff followed current infection control and hygiene practice to reduce the risk of infection when providing care and support to people. Where the service was responsible for this, people were helped to take their prescribed medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s feedback confirmed they were satisfied with the care and support provided by staff. They told us staff were caring and treated them well.

After our last inspection, the provider had improved their governance system to make this more effective. There were now regular checks of recruitment practices to make sure these remained safe.

The provider monitored and reviewed the safety and quality of care and support provided to people. They checked with people that care and support was delivered to a high standard and continuing to meet their needs. The provider used these checks to support staff to continually learn and improve in their role.

The provider sought people’s and staff’s views about how the service could improve further and acted on their suggestions to make improvements.

There were arrangements in place to make sure any accidents, incidents and complaints would be fully investigated and people would be involved and informed of the outcome. The provider worked proactively with health and social care professionals to provide care and support that met people’s needs.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 9 August 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

We carried out an announced comprehensive inspection of this service on 21 July 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve fit and proper persons employed.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions, safe and well-led, which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Worlta Health Care Ltd on our website at www.cqc.org.uk.

Follow up

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

Worlta Health Care Ltd is a domiciliary care agency providing personal care. The service provides support to people living in their own homes in the community. 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 there were three people using the service.

People’s experience of using this service and what we found

The provider was not operating safe recruitment practices. They had not obtained all the information they needed to assure themselves of the suitability of staff they employed. This meant the provider’s governance systems were not entirely effective, because the provider had not identified the issue we found around recruitment which increased the risk of people receiving unsafe or inappropriate care. The provider did however carry out criminal records checks on staff when they applied to work at the service.

Notwithstanding the issue above, people were safe using the service. Staff had been trained to safeguard people from abuse and knew how to manage risks to people, to keep them safe. There were enough staff to support people and meet their needs. Staff were punctual and consistent with their timekeeping. Staff followed current practice when providing personal care and when preparing and handling food which reduced infection and hygiene risks in people’s homes.

People were satisfied with the care and support they received from staff. People were involved in planning their care and support and could state their preferences for how this was provided. They received the care and support that had been planned and agreed with them because staff knew people well and understood how their needs and preferences should be met.

Where the service was responsible for this, staff helped people to eat and drink enough to meet their needs. Staff understood people’s healthcare needs and how they should be supported with these. They reported any concerns they had about people’s health and wellbeing promptly so that appropriate support could be sought for them.

Staff received training to help them meet people’s needs. Staff were supported and encouraged to continually learn, develop and improve in their role. They enjoyed their work and supporting people. The registered manager carried out spot checks on staff to make sure they were carrying out their duties appropriately and to a high standard.

Staff were caring and treated people well and respected their right to privacy, dignity and independence. 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 registered manager regularly monitored the safety and quality of care and support provided to people. They checked with people at regular intervals that the care and support provided was meeting their needs and sought their views about how the service could improve.

There were arrangements in place to investigate accidents, incidents and complaints and people to be involved and informed of the outcome. The registered manager worked proactively with healthcare professionals involved in people’s care and acted on their recommendations to deliver care and support that met people’s needs.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 20 May 2021 and this is the first inspection.

Why we inspected

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

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

After the inspection the provider contacted us and told us they had they had requested the information required to assure themselves of the suitability of staff employed.

Enforcement

We have identified a breach in relation to fit and proper persons employed. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.