We carried out a review of the data available to us about Paladins Care 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 Paladins Care Limited, you can give feedback on this service.
Paladins Care Limited is a domiciliary care agency providing personal care to people living in their
own homes or flats. The service provides care visits and offered live-in support for people in the day and overnight.
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. The service was supporting 22 older and younger adults with the regulated activity of personal care at the time of this inspection.
People’s experience of using this service and what we found
People were positive about their care. One person told us, ‘‘[Staff] are brilliant and so kind. They really know what is important to me.’’
People received kind and compassionate care from staff who had got to know them as individuals. People’s care was tailored to meet their specific needs and preferences. Staff respected people’s privacy and dignity, and supported people to stay as independent as possible. The registered manager involved people in their care planning and staff ensured that people were supported to make choices about their day to day care.
Staff had a good understanding of safeguarding and how to keep people safe. Risk assessments were completed to help mitigate any risk to people while they were being supported. There were enough staff to support people safely and staff were recruited robustly to ensure that they were fit for the job role. Staff members received training and supervision to ensure they could support people effectively. People were supported safely with their medicines. The registered manager reviewed any incidents and shared any lessons learned with the staff team.
People’s needs were assessed before they began using the service. People were supported to eat a balanced diet depending on their support needs in this area. Staff supported people to live healthy lives and contacted health professionals if more support was needed. People were supported to access the community and take part in activities which met their preferences and interests. People had access to a complaints procedure and complaints were responded to appropriately.
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.
The registered manager had developed a positive culture at the service. They were open and honest about improvements that needed to be made in areas such as call time monitoring, medicines management and staff support. Plans were in place to rectify these issues. People and the staff team were regularly asked for feedback about the service. The registered manager linked and worked with other organisations to promote positive outcomes for people.
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 24 May 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.
Paladins Care Limited provides personal care to people who live in their own homes in order for them to maintain their independence.
At the time of our inspection the provider confirmed they were providing personal care to 4 people, most of which received ‘live in’ care, where the staff lived with people and provided 24hr care.
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.
Staff attended induction training where they completed mandatory training courses and were able to be shadowed by the registered manager. All staff were taking part in the Care Certificate qualification.
Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse and people had risk assessments in place to enable them to be as independent as possible. All the staff we spoke with were confident that any concerns they raised would be followed up appropriately by their manager.
Staffing levels were adequate to meet people's current needs. Most of the staff worked as ‘live in’ carers with people, and swapped with other staff every few weeks.
The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. References and security checks were carried out as required.
Staff were not currently supporting people with medicines. We saw that systems and training was in place should they need to.
Staff members had induction training when joining the service, as well as regular on-going training. Staff members were regularly encouraged to improve their skills with training.
Staff were well supported by the registered manager and senior team, and had regular one to one
meet ups and observations.
People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. Consent forms were signed and within people’s files.
People were able to choose the food and drink they wanted and staff supported people with this, and people could be supported to access health appointments when necessary.
Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes.
People were involved in their own care planning and were able to contribute to the way in which they were supported. People told us they felt in control of their care and were listened to by staff.
The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required. The people we spoke with knew how to use it.
Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed