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Inspection Summary


Overall summary & rating

Good

Updated 10 August 2018

First Prime Care Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults. At the time of this announced comprehensive inspection of 11 July 2018 there were 33 people who used the service. We gave the service 48 hours’ notice of our inspection to make sure that someone was available.

At our last inspection of 20 and 28 October 2016, the service was rated good overall. The key questions for safe, effective, caring and responsive were rated good and the key question well-led was rated requires improvement. This was because improvements were needed in the service’s governance processes. At this inspection we found improvements had been made and is now rated good. 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.

Improvements had been made in how the service was led. This included improvements in their governance systems to assess and monitor the service provided to people. The service had a quality assurance system and shortfalls were identified and addressed. As a result, the quality of the service continued to improve.

The service continued to provide people with a safe service. Risks to people continued to be managed, including risks from abuse and in their daily lives. The service had learned from incidents to drive improvement. There were enough care workers to cover people’s planned care visits. Recruitment of care workers was done safely. Where people required support with their medicines, this was done safely. The risks of cross infection were minimised.

The service continued to provide people with an effective service. People were supported by care workers who were trained and supported to meet their needs. People were supported to have maximum choice and control of their lives and care workers cared for them in the least restrictive way possible; the policies and systems in the service supported this practice. Systems were in place to support people with their dietary needs, if required. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people’s care to provide a consistent service.

The service continued to provide a caring service. People had positive relationships with their care workers. People’s dignity, privacy and independence were respected and promoted. People’s views were listened to and valued.

The service continued to provide people with a responsive service. People received care and support which was assessed, planned and delivered to meet their individual needs. There were systems in place to support and care for people at the end of their lives, where required. A complaints procedure was in place.

Further information is in the detailed findings below.

Inspection report


Inspection areas

Safe

Good

Updated 10 August 2018

The service remains good.

Inspection report


Effective

Good

Updated 10 August 2018

The service remains good.

Inspection report


Caring

Good

Updated 10 August 2018

The service remains good.

Inspection report


Responsive

Good

Updated 10 August 2018

The service remains good.

Inspection report


Well-led

Good

Updated 10 August 2018

The service was well-led.

Improvements had been made in how the service assessed and monitored the service provided to people. These quality assurance systems supported the registered manager to identify and address shortfalls.

Inspection report