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Inspection Summary


Overall summary & rating

Good

Updated 23 October 2018

This announced inspection took place on 7 September 2018. The service was previously inspected on 10 November 2015 where it was found to be good in all Key Questions and good overall.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The service is registered with the CQC to provide a service to older adults some of whom might be living with dementia and younger adults who have learning disabilities or autistic spectrum disorder, physical disability, sensory impairment or mental health and require care and support.

Not everyone using Recruitcare Professionals Ltd 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. At the time of our inspection two people were receiving the regulated activity of personal care.

At this inspection we found that the service remained good in all Key Questions and good overall.

People spoke positively about the service they received describing the staff and the registered manager as kind and friendly. They found the service was flexible and responsive to their changing requirements and described staff as punctual in attending their calls.

The registered manager was very knowledgeable about the people using the service and often worked alongside staff to provide care. They used these opportunities to check people were happy with the service they received and acted as a role model to staff demonstrating good practice.

The registered manager assessed people prior to offering a service to ensure they could meet their support needs and with their involvement produced person centred care plans. They assessed the risks to people and put in place guidance for staff to mitigate those risks.

The provider worked in line with the Mental Capacity Act 2005 and obtained people’s consent before providing care. People told us staff respected their decisions.

Staff were recruited in a safe manner and received induction training prior to commencing their role. The provider ensured further training was available to staff to update their knowledge and to encourage them to progress in the field of health and social care.

Staff received medicines administration training and care plans stated what support people required. Staff monitored people’s wellbeing and liaised with health services on their behalf. They prepared people’s meals to their cultural requirements and reminded people to drink enough to remain hydrated.

The registered manager had an oversight of the service. They monitored records and spoke with people to ensure that all safeguarding concerns were identified and reported appropriately. They undertook checks and audits to ensure the service provision was of a good quality. When they identified mistakes or near misses they shared their learning with the staff team.

The registered manager and directors of the company had a vision of offering compassionate care to people living in the community. They were passionate about valuing their staff and supporting them to reach their potential. They kept their own learning updated and attended health and social care forums to remain informed about changes of legislation and good practice.

Inspection areas

Safe

Good

Updated 23 October 2018

The service was safe. Staff described how they would recognise and report signs of abuse and the registered manager monitored records and met with people to identify possible safeguarding adult concerns.

The registered manager assessed staffing levels and supported staff in the field to ensure they could offer a consistent and timely service to people.

Staff had received medicines administration training however, currently people managed their own medicines.

The provider ensured there was adequate personal protective equipment and the registered manager monitored to check staff maintained good infection control.

The registered manager demonstrated that they learnt from mistakes and shared learning from incidents with the staff team to prevent a reoccurrence.

Effective

Good

Updated 23 October 2018

The service was effective. The registered manager undertook assessments of people’s needs to ensure they could offer an appropriate service to them.

Staff received supervision and training to support them to undertake their role.

People were supported to eat and drink enough to remain healthy.

The registered manager liaised with health and social care professionals for the benefit of people using the service.

The registered manager and staff worked in line with the Mental Capacity Act 2005 to promote people’s legal rights.

Caring

Good

Updated 23 October 2018

The service was caring. People and their relatives told us staff were kind and friendly.

Care plans detailed how people communicated and staff gave people choices about their everyday activities.

Care staff supported people in a respectful manner and ensured they promoted people’s dignity.

Responsive

Good

Updated 23 October 2018

The service was responsive. Care plans were detailed and person centred.

People and their relatives told us they knew how to complain and felt comfortable in doing so.

The service was not currently providing end of life care. However, some of the care staff were trained to offer this service and the registered manager had previously supported people in the service who had end of life care needs.

Well-led

Good

Updated 23 October 2018

The service was well led. People, relatives and staff found the director and the registered manager supportive, inclusive and open in their manner.

The provider had a clear vision to offer a personalised service to people that was tailored to their needs.

The registered manager undertook checks and audits to ensure quality of the service provided.

The provider was embedding good systems to manage the service effectively and to ensure sustainability.