Archived: Pin Point Health and Social Care

Updated 14 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector carried out this inspection.

Service and service type: This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults.

Not everyone using Pin Point Health and Social Care receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection: This was an announced inspection. We gave the service 24 hours’ notice of the inspection visit because it is a care at home service. We needed to be sure the registered manager would be available.

Inspection site visit activity started on 25 April 2019 and ended on 14 May 2019. We visited the office location on 25 April 2019 to see the registered manager and office staff; and to review care records, policies and procedures. We then spoke with people in their own homes and by telephone to gather their views about the service.

What we did:

Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed all the information we held about the service.

We checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs).

During the inspection we spoke with seven people, four relatives, the registered manager and four care workers. We reviewed three people's care records, five staff personnel files, audits and other records about the quality and safety of the service.

Updated 14 June 2019

About the service: Pin Point Health and Social Care is a domiciliary care service that was providing personal care to 30 people at the time of the inspection.

People’s experience of using this service:

At our last inspection the provider had failed to manage medicines safely; robustly assess the risks relating to people’s health, safety and welfare; adequately seek people’s consent to receive care, investigate complaints thoroughly and to have effective governance in place. This resulted in breaches of Regulations 11, 12, 16 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection we found sufficient improvement had been made and the provider was no longer in breach of these regulations. However, the provider had breached the registration regulations as they had not notified the Care Quality Commission (CQC) about significant events, such as allegations of abuse. This is being dealt with separately outside of the inspection process.

People and relatives felt the service was safe. Staff knew how report safeguarding and whistle blowing concerns.

People received good care from a consistent and reliable staff team. Staff were recruited safely.

People were supported to receive the medicines they were prescribed. Incidents and accidents were investigated and action taken to keep people safe.

Staff were well supported and received the training they needed.

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 were supported to have enough to eat and drink and to access health care services.

People’s needs had been assessed to identify the care they needed; this was used as the basis to develop personalised care plans.

Complaints were investigated and action taken to address concerns. People knew how to complain; however, the people we spoke with were happy with their care.

The registered manager completed quality assurance audits to monitor people’s care. Staff described the registered manager as approachable and supportive.

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

Rating at last inspection: Requires improvement (the last report was published on 17 February 2017).

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor this service and inspect in line with our reinspection schedule for services rated good.