Background to this inspection
Updated
16 March 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 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 Health and Social Care Act 2008, as the previous inspection in October 2017 found breaches to Regulation 12, Safe Care and Treatment and Regulation 17, Good Governance.
Radis Community Care Derby provides personal care for people living in their own homes. On the day of the inspection the registered manager informed us that 29 people were receiving a personal care service from the agency.
The visit took place on 7 and 8 February 2018. We gave the provider 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The inspection team consisted of an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert by experience had experience of the care of older people.
We reviewed the provider’s statement of purpose; this is a document which includes a standard required set of information about a service. We also reviewed the notifications submitted to us; these are changes, events or incidents that providers must tell us about. We looked at information received from a local authority commissioner. Commissioners are responsible for finding appropriate care and support services for people.
We spoke with five people who received a personal care service, four relatives, the registered manager, the area manager and three care staff.
We looked at records relating to the issues we were inspecting including care, staffing and quality assurance records. We also looked in detail at four people’s care records.
Updated
16 March 2018
Radis Community Care – Derby is a ‘domiciliary care service.’ People receive personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates the care provided, and this was looked at during this inspection. The service provides personal care for older people, people living with dementia, and people with a physical disability. This was a focused inspection to follow up the comprehensive inspection we carried out in October 2017.
The inspection took place on 7 and 8 February 2018. The inspection was announced because we wanted to make sure that the registered manager was available to conduct the inspection.
At our last inspection we identified regulatory breaches related to safe care and treatment and good governance. The provider supplied an improvement action plan detailing improvements that were to be made to the service. At this inspection we found the registered provider had made sufficient improvements to meet previous breaches of regulations, though improvements were still needed in some areas.
A registered manager was in post. This is a condition of the registration of the service. 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 and associated Regulations about how the service is run.
People and their relatives told us they were safe receiving personal care from staff. They said staff provided care that they liked and they got on well with them.
People's risk assessments provided staff with information on how to support people safely, though some assessments were not fully in place. Calls to people had not always been timely.
People were protected from the risks of infection. Medicines were managed safely and people told us they had received their medicines.
Staff had been trained in safeguarding (protecting people from abuse) and understood their responsibilities to act and report when needed.
Some people and their relatives told us they were satisfied with how the service was run by the registered manager. Staff were satisfied with the support they received from the management of the service. However, some people and their relatives said that the service needed to improve.
Management had carried out audits and checks to ensure the service was running properly to meet people's needs though some important issues had not been identified.