Pivotal Care Ltd

Updated 20 December 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 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 announced inspection took place on the 31 October, 2,7 and 8 November 2018. The inspection team was made up of one inspector. We visited the service’s office on 31 October 2018, visited three people in their homes on 2 November and made telephone calls to people’s relatives on 7 and 8 November 2018. We gave the service 24 hours notice so we could ensure the people we needed to speak with were available.

Before the inspection we reviewed information we held about the service. This included notifications the service had sent us and information received from other parties. The provider had submitted a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During our inspection we visited and spoke with three people with staff and one relative in their homes and spoke with the registered manager and three staff at the office. We spoke with two relatives by telephone. We also looked at three people’s care records, and reviewed records relating to the running of the service. This included four staff records, quality monitoring audits and accident and incident records. We also received feedback from staff via our website.

Updated 20 December 2018

Pivotal Care Ltd is a domiciliary care agency it was previously known as All Time Care Limited. It provides personal care to people living in their own homes. Not everyone using Pivotal Care Ltd receives a regulated activity. CQC only inspects the services being provided to people who receive ‘personal care’ which is help with help with tasks related to personal hygiene and eating. For those people receiving ‘personal care’ we also take into account the support they receive. When we visited the service there were three adults with learning disabilities and/or physical disabilities and/or mental health needs receiving ‘personal care’. The service also supported people who did not receive a regulated service.

At our last inspection in July 2016 when the service was called All Time Care Limited we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People were supported by staff who understood the risks they faced and how to support them to reduce these. Staff understood how to identify and report abuse and the service had responded appropriately to allegations of abuse. Staff supported people to take medicines safely.

People were supported by skilled and caring staff who worked to ensure they lived their life the way they chose.

People were supported to have maximum choice and control of their lives and their wishes and preferences were planned for and met.

People and relatives knew how to raise concerns and complaints.

The service had gone through a significant period of change in how the service was led and had become part of a large organisation. This had been a considerable change for people, staff and relatives. Because the service has not yet been able fully sustain and embed the changes and there will be more changes in the management of the service, we have identified how well led the service is as an area for improvement.