Resilience Healthcare LTD

Updated 1 February 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

The inspection was carried out by one inspector.

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

We gave the service 48 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 11 January 2023 and ended 15 January 2023. We visited the location’s office on 11 January 2023

What we did before the inspection

Prior to the inspection we reviewed information and evidence we already held about this service, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the service. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 1 relative of people who used the service to help us understand the experience of people who could not speak with us. We spoke with 1 person who used the service. We spoke with the registered manager and 4 care workers. We reviewed the care records of 3 people using the service, personnel files of 4 care workers and other records about the management of the service.

Updated 1 February 2023

About the service

Resilience Healthcare LTD is a domiciliary care service providing personal care to people living in their own home. At the time of our inspection there were three people using the service. 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 and what we found

People were protected from the risk of abuse, and the service had systems and processes in place to promote and safeguard people. People and relatives told us they felt safe and were positive about the care workers who supported them. Care workers were trained to administer medicines safely. Checks were completed to ensure care workers were following safe medicine practices. Risks to people were reduced because people's individual risks and needs had been assessed and planned. Care workers had access to clear information about risks to people and how they should be supported to minimise the risks.

Care records were reflective of people's preferences and supported care workers to ensure people's needs were met. Care workers followed infection control procedures to reduce the risk of infection. There were plentiful supplies of personal protective equipment (PPE). 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.

People's privacy and dignity were well respected. Care workers knew people well and strived to deliver personalised care.

Audit systems were in place to support oversight and governance of the service. The service was well-led by a registered manager who was passionate about improving care and achieving the best possible outcomes for people. They were committed to the ongoing development of the service and ongoing quality improvements.

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 - This service was registered with us on 30 November 2021 and this is the first inspection.

Why we inspected

We undertook this inspection to assess the quality of care and give the service their first rating.

Follow up

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