We carried out a review of the data available to us about Immaculate Healthcare Services Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Immaculate Healthcare Services Limited, you can give feedback on this service.
Immaculate Healthcare Limited is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone who used the service received personal care. 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. The service was supporting 60 people at the time of inspection.
People’s experience of using this service and what we found
Staff understood what abuse was and the actions to take if a person using the service was being abused. Risks associated with people’s care and support had been assessed and there was guidance in place to keep them safe. The provider had effective recruitment procedures to make safe recruitment decisions when employing new staff. There were enough staff to meet people’s needs. Systems were in place for the monitoring and prevention of infection. Staff assisted people to have their medicines as prescribed.
The provider had an on-going quality monitoring process to identify areas of improvement required within the service. The provider operated an open and inclusive culture where people, relatives, staff and other professionals were encouraged to help improve the service provided to people. Staff had access to a range of policies and procedures and this helped them to carry out their role. The management team and staff promoted the equality and diversity of people who used the service. The registered manager worked in partnership with other organisations to support and care for people. There was a range of monitoring and audit tools to assess and monitor the delivery of care and support to people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection the service was rated Good (report published 15 September 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
At the last inspection on 11 February 2016 the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.
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 legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the service is run. The registered manager was away at the time of the inspection. The care manager supported us with the inspection.
Risks had been identified and assessed, which provided information to staff on how to reduce these risks to keep people safe. Medicines were being managed safely. There were sufficient staffing levels to support people. Staff had been trained in safeguarding vulnerable adults and knew how to keep people safe. There was a safe recruitment process in place to ensure staff were suitable to support people.
Staff had the knowledge, training and skills to care for people effectively. Staff received regular supervision and support to carry out their roles. People had choices during meal times and were supported with meals when required. Staff knew what to do if people were not feeling well. People’s needs and choices were being assessed regularly through review meetings to achieve effective outcomes.
People and relatives told us that staff were friendly and caring. People were treated in a respectful and dignified manner by staff who understood the need to protect people's human rights. People had been involved with making decisions about their care.
Care plans were person centred and included clear information on how to support people. People and relatives were aware of how to make complaints if they wanted to and staff knew how to manage complaints.
Staff felt well supported by the management team. Some quality assurance and monitoring systems were in place to make continuous improvements. However, there was not an effective audit system in place to ensure medicines were managed safely. We made a recommendation in this area.
Immaculate Healthcare Services Limited provides support with personal care to people living in their own homes. At the time of this inspection there were 85 people using the service.
There was a registered manager in place. 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.
Most people told us that they were happy with the care they received and there were enough staff to meet their needs. Records we saw indicated staff had received appropriate training to keep people safe including moving and handling, health and safety, safeguarding and food safety training. Staff received on-going support through staff meetings and supervisions.
We saw safeguarding procedures were robust and staff understood how to safeguard the people they supported. People were cared for by staff who had completed the necessary pre-employment checks to ensure it was safe for them to work for the service.
People where appropriate, were supported to take their medicines and their nutritional needs were being met by the service. The registered manager worked well with external health and social care professionals to make sure people received the care and support they needed. People were referred onto the appropriate service when concerns about their health or wellbeing were noted.
People told us staff always treated them with kindness and respect and they encouraged people to maintain their independence and were mindful of their privacy and dignity.
People care records and risk assessments had information for staff to help them provide the personalised care to people using the service. People were involved in planning and agreeing their care and support arrangements. The registered manager and staff understood the principles of the Mental Capacity Act (MCA) and how to put these into practice.
There were quality checks undertaken to ensure people received care and support in accordance with their needs and preferences. People said they knew how to make a complaint if they were unhappy about the support they received.
People were asked for their opinions of the service through telephone calls, care plan reviews and quality monitoring surveys. The management team welcomed suggestions on how they can develop the services and make improvements. Where shortfalls or concerns were raised these were addressed.
People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and reduce the risk from happening. We found that people's health needs were met because the service had effective recruitment procedures in place and carried out relevant checks before they employed staff. People told us that they were asked for their views on the service provided by the care agency and we found that systems were in place to monitor and assess the quality of care provided.