Archived: P3 Navigator

Updated 31 December 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 November 2015 and was announced. 48 hours’ notice of the inspection was given because the service is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

The inspection was carried out by one inspector. Before the inspection, we examined information that we held about the provider.

On 26 November 2015, we visited the main office for P3 Navigator and spoke to the registered manager and two staff members who were responsible for assessing and delivering personal care to people who lived in their own homes. We looked at the care records of one person as well as records which related to staffing including their recruitment procedures and the training and development of staff. We inspected the most recent records relating to the management of the service.

After the inspection, we spoke with one person by telephone about the service they received from P3 Navigator.

Updated 31 December 2015

A registered manager was in place as required by their conditions of registration. 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.

This inspection took place on 26 November 2015 and was announced. P3 Navigator is a new domiciliary care service which provides personal care and support to people with physical needs as well as people who have mental health problems, sensory impairments and learning disabilities who live in their own homes. The level and amount of support people need was determined by their own personal needs.

At the time of inspection there were 13 people using the service but only one person received personal care as defined by CQC. We were therefore not able to gather sufficient evidence to rate this service at this time.

The provider and registered manager were not aware of changes in health and social care legislation and their legal obligations related to running a personal care service.

People were complimentary about the service and the staff who supported them. They were supported to make choices about their care and retain their independence. Staff were aware the provider’s vision and values on how to support people.

People had been involved in the planning of the care and support; however their care records did not always reflect their physical and social needs and associated risks. Staff did not have adequate recorded guidance on how to support people with their personal care. Plans were in place to ensure people’s care needs were to be regularly reviewed and a copy of their care records would be kept in their home. Staff supported people to make and attend appointments with health care professionals if they required additional support or their health care needs changed.

Staff were knowledgeable about protecting people from harm and reporting any concerns. Staff valued people’s feedback about the service they received and acted on any concerns.

Policies and systems were being considered and implemented to reflect the needs and the delivery of the service. Staff told us they felt supported and the management were approachable. Plans were in place to support and train staff in their role as the service developed.