Background to this inspection
Updated
4 March 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
This inspection was carried out by 2 inspectors.
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
This inspection was unannounced.
What we did before the 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. We reviewed statutory notifications that informed us of important events that had occurred at the service. We reviewed intelligence from members of the public and the providers improvement action plan. We used all this information to plan our inspection.
During the inspection
We spoke with the Quality and Compliance consultant, the Operations Manager and the administrator. We reviewed 4 people’s care files, 4 staff files and a range of other documents in relation to the running of the service. This included incident and accident records, complaints, planned rosters and medicines administration records (MAR). Following the inspection, we received feedback from 1 person using the service, 6 relatives and the local authority.
Updated
4 March 2023
About the service
Goldsmith Personnel Kingston is a domiciliary care agency providing personal care to older people and those with dementia. At the time of our inspection there were 20 people using the service.
People’s experience of using this service and what we found
Quality assurance systems needed further improvements to ensure governance systems were robust and embedded. Incident management, records management and oversight of the service needed to be consistent.
Care plans would benefit from further personalisation and staff supervision records could contain more detail.
People and their relatives felt they were safe and that care staff administered their medicines when they needed them. Staff were clear on how to recognise and report signs of abuse.
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 and their relatives were involved in the development of their care. Complaints were well responded to.
People, relatives and staff felt well supported by management. The management of the service had made efforts to improve concerns identified at our last inspection.
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 last rating for this service was inadequate (published 25 October 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 the provider remained in breach of regulation 17.
This service has been in Special Measures since 25 October 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We carried out an announced comprehensive inspection of this service on 06 September 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, consent to care and treatment, complaints, staffing, fit and proper persons employed and good governance.
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, Effective, Responsive 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 inadequate to requires improvement. 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 Goldsmith Personnel Kingston on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to good governance at this inspection.
We have made recommendations in relation to staff support and personalisation of care records.
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.