We carried out a review of the data available to us about Shield Recruitment Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Shield Recruitment Limited, you can give feedback on this service.
Shield Recruitment Limited is a domiciliary care agency providing personal care and support to people in their own homes. It provides a service to older people and younger adults. At the time of inspection, the service was providing personal care to one person.
Not everyone who used the service received personal care. 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.
People’s experience of using this service and what we found
The person who used the service said they received safe care and support. Staff understood and managed people’s risks. Enough staff were employed to support the person consistently and safely. Staff protected the person from avoidable harm, were knowledgeable about safeguarding and felt able to raise concerns. Systems were in place to recruit staff safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff received effective training and support to enable them to care for people well. Staff gained consent to care and understood people’s rights to make their own decisions.
Staff were patient, friendly and kind, and made sure they respected privacy and dignity. They had developed positive, caring relationships with the person who used the service. Staff respected the person’s privacy and dignity and promoted independence, equality and diversity.
The service assessed needs before people began to use the service. Care plans overall, contained information for staff to support the person according to their needs. Some care plans needed strengthening to ensure more detail. The registered manager updated these during the inspection.
The registered manager completed checks on the quality of the service provided. The provider had a system in place for responding to people's concerns and complaints. Procedures were in place to learn from incidents and accidents. There was an honest and open culture; with regular communication with the person who used the service and staff. The registered manager was responsive to any issues raised during the inspection.
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 14 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.
Shield recruitment cares for people in their own homes and provides support for people to access the community. At the time of this inspection they supported one person.
The risk to people's safety were reduced because staff could identify the different types of abuse, knew how to report concerns and had attended safeguarding adults training. Risk assessments had been completed in areas where people's safety could be at risk. People had the freedom to live their lives as they wanted to. Staff were recruited in a safe way. People told us there were enough staff to meet their needs and to keep them safe.
There had not been any accidents and incidents but staff and the registered manager were clear about the action to be taken following an accident or incident. Assessments of the risks associated with the environment where people lived were carried out.
People were supported by staff who had received an induction. Staff received training in the areas the provider deemed mandatory and they had specific training to enable them to meet people’s specialist needs. Staff told us they had not always received supervision and documents evidenced these meetings had not happened at regular intervals. We have made a recommendation about this. However staff felt supported and told us they were confident in approaching the registered manager with any concerns.
Staff ensured people were given choices about their support needs and day to day life. The registered manager was aware of the requirements under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberties Safeguards (DoLS).
People were supported by staff who were kind and caring and treated them with respect and dignity. They were able to make decisions about their care and support needs. They were encouraged to plan and buy their own food and were supported to follow a healthy and balanced diet. People's day to day health needs were met by the staff and external professionals. Referrals to relevant health services were made where needed.
People's support records were person centred, included their preferences and focused on what was important to them. The records were reviewed in line with the agreement with the person. Staff had a good understanding of people and their needs.
People were encouraged to take part in activities that were important to them. People were provided with the information they needed, in a format they could understand, if they wished to make a complaint.
People and staff spoke highly of the registered manager. The registered manager understood their responsibilities. Staff and relatives were encouraged to contribute to the development of the service. Staff were encouraged to develop their roles.
There were a number of quality assurance processes in place that the registered manager used to regularly assess the quality and effectiveness of the support provided.