Panacea Senior Care Limited

Panacea Senior Care Limited is a domiciliary care service registered to provide personal care to older people including those living with dementia, mental health needs, physical disability, and younger adults. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of this review six people were receiving personal care support.

Background to this report

At our previous comprehensive inspection at Panacea Senior Care Limited on 5 February 2020 we identified concerns relating to Well Led. We found that the provider had moved the location of the service without informing the CQC.

This was a breach of Regulation 15 Registration Regulations 2009, Notifications – notices of change, for which we issued a requirement notice. The key question Well Led was rated Requires Improvement and the overall location rating was Requires Improvement

The full report of that inspection can be found by selecting the ‘all reports’ link for Panacea Senior Care Limited on our website at www.cqc.org.uk.

Why we carried out this review

We carried out a review on 23 May 2022 to follow-up on the requirement notice and assess whether the provider has addressed the improvements required at our previous inspection.

We did this using a ‘desk-based’ review process because evidence to demonstrate that the requirement notice had been met could be obtained and assessed remotely without needing an inspection visit to the location. This was not an inspection: the scope of this review did not include a visit to the service or an assessment of the outcomes for people using the service.

What we found

This report covers our findings in relation to the action taken by the provider to address the requirement notice issued at our last inspection. Details of the findings from this remote assessment can be found under the Well Led section of this report.

Through this review we have assessed that Panacea Senior Care Limited has taken action to meet the requirement notice issued after the last inspection and is therefore no longer in breach of Regulation 15 Registration Regulations 2009, Notifications – notices of change. We were able to see evidence that improvements have been made, including a Registered Manager being in post.

Because the breach of regulation has been met Panacea Senior Care Limited is now rated Good overall.

Panacea Senior Care Limited is a domiciliary care service registered to provide personal care to older people including those living with dementia, mental health needs, physical disability, and younger adults. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection four people were receiving personal care support.

People’s experience of using this service and what we found

The service had moved address and all associated records to a new location without informing the CQC and completing the necessary CQC records, so the new address was recorded on CQC registers. The service did not have a registered manager in post.

People and their relatives told us they felt safe with the staff. People were supported by enough and suitable staff who knew how to keep them safe from the risk of harm and abuse. People were supported safely with medicines. People were protected from the risk of infection. The service had a procedure to record accidents and incidents.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s healthcare and associated risks were identified and assessed. Risk assessments included mitigating factors to ensure safe care. People’s needs were assessed before they received a service. People’s needs were met by staff who were well trained and received regular support and supervision. People’s dietary needs were met effectively.

People and their relatives told us staff were caring and treated them with respect and dignity. People and their relatives were very happy with the service. People were involved in making decisions regarding their care. People were supported to remain as independent as possible.

Care records were up to date, person centred and comprehensive. People’s cultural and religious needs were respected when planning and delivering care.

Discussions with the registered manager and staff showed they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service. The provider had a complaints procedure in place and people knew how to make a complaint.

People, relatives and staff told us the manager and the nominated individual were supportive. Staff told us they felt well supported by the service. The service had effective quality assurance processes in place.

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

Rating at last inspection

The last rating for this service was good. (published 15 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

Since the last inspection we recognised that the provider had failed to notify the Care Quality Commission of moving address and not having a registered manager. This was a breach of Regulation15 Registration Regulations 2009 Notifications – notices of change. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Panacea Senior Care Limited is a domiciliary care service that provides personal care to people with dementia, mental health, physical disability, younger adults and older people in their own homes. At the time of inspection, Panacea Senior Care Limited domiciliary care service provided support to five people but only three people were receiving support with personal care. Five members of staff were delivering regulated activity.

On the day of the inspection, the service had a manager who had applied for registration with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.

People using the service and their relatives were very happy with the service and found staff caring, friendly and professional. The service delivered a person-centred service that met people’s individual health and care needs. People’s nutrition and hydration needs were met and were appropriately recorded in daily care records. People were happy with staff’s punctuality and found them trustworthy and the service reliable. They were assisted with medicines and there were clear medicines assessments in place to enable staff to support people safely. There were detailed daily care delivery records giving a clear account of how people were supported.

Staff were skilled, experienced and well-trained and able to demonstrate their understanding of the needs and preferences of the people they cared for by giving examples of how they supported people. Staff received on-going support and regular supervision. The service followed safe recruitment practices and carried out appropriate recruitment checks before staff worked with people.

Care plans were person-centred and recorded people’s individual needs, likes and dislikes. Risk assessments were detailed and provided sufficient information and instructions to staff on the safe management of identified risks.

The service followed appropriate safeguarding procedures and staff demonstrated a good understanding on how to protect people against abuse and harm, and their role in promptly reporting poor care and abuse.

The service implemented good procedures around Mental Capacity Act 2005 and documented how best to support people that lacked capacity to make decisions.

The service had good systems and processes to assess, monitor and improve the quality and safety of the care delivery. The manager regularly visited people’s homes to seek their feedback and observe staff supporting people with their care needs, and addressed any concerns raised. The service was in the process of reviewing annual feedback survey forms. People and their relatives told us they were extremely happy with the manager and found them approachable and kind.