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Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 September 2017

This inspection took place on 30 August 2017 and was announced.

Reign Supreme Care Services Limited is registered to provide personal care and support for people living within their own homes. At the time of our inspection there were three people using the service, of which two people had been using the service for a period of two weeks or less. People’s care was provided by the registered manager and two members of care staff. People's packages of care varied dependent upon their needs.

This was the first inspection of the service since it was registered 6 June 2016.

Reign Supreme Care Services Limited had a registered manager. 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.

People’s safety and welfare was compromised as staff recruitment practices were not robust. Pre-employment checks were not consistently carried out. This meant staff were providing care and support to people, before their suitability had been confirmed.

People’s safety and welfare was risk assessed and guidelines to reduce potential risk to people were documented within their records. This included instructions and guidance as to the use of equipment to reduce the likelihood of risk and potential harm.

Staff underwent a period of induction, which included their being introduced to people whose care and support they would provide. This meant staff had an understanding of their role and responsibilities in providing care and were able to deliver care as detailed within people’s care plans. Staff were not involved in supporting people with their medicines, any support required was provided by family members.

Staff understood the importance of seeking people’s consent prior to providing care and support. Staff liaised with health care professionals where necessary and kept in contact with people’s family members where they had concerns about people’s health. People received support with the preparation of meals where needed to ensure people’s nutritional needs were met.

People’s records, including their care plans had been developed with the involvement of themselves or their family members and provided information for staff about the person. A person spoke positively about the attitude and care of staff and received care.

People’s views about the service were sought by the registered manager and staff told us they had confidence in the management of the service. The registered manager was not fully aware of the topics of training covered as part of staff induction. The registered manager had identified within the PIR planned improvements for the next 12 months as part of the services expansion.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Requires improvement

Updated 23 September 2017

The service was not consistently safe.

People were put at risk as safe recruitment systems were not followed, which meant the registered manger could not confident that staff to were suitable to work with people who used the service.

People were protected from abuse because staff had an understanding of what abuse was and their responsibilities to act on concerns.

Risks to people's health and wellbeing had been assessed and measures were in place to ensure staff supported people safely.

Effective

Requires improvement

Updated 23 September 2017

The service was not consistently effective.

The registered manager was unclear as to the training topics staff covered as part of their induction.

The registered manager and staff understood their role in promoting people’s independence and offering choice when delivering care and support.

People were provided with support, where required, to meet their dietary requirements.

People were supported by staff who liaised with family members and health care professionals to promote their health and welfare.

Caring

Good

Updated 23 September 2017

The service was caring.

People were supported by a consistent member of staff, which included the registered manager, who they had developed positive professional relationships with.

People or their family representatives were involved in the development and reviewing of care plans.

Responsive

Good

Updated 23 September 2017

The service was responsive.

People or their family representatives were involved in the assessment process, which was carried out by the registered manager. Staff knew how to support people and took account of people's individual preferences in the delivery of care.

People were provided with information about making a complaint or raising a concern. No complaints had been made.

Well-led

Requires improvement

Updated 23 September 2017

The service was not consistently well-led.

We identified shortfalls in some areas of management. The registered manager had not ensured staff recruitment procedures were safe and effective.

The registered manager was aware that as the service expanded additional resources and personnel would be required. The registered manager was significantly involved in the delivery of people’s care and support. A person using the service expressed their satisfaction in the service they received.

The registered manager had recently purchased a system to support them in the monitoring the quality of the service.