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Reliance Care Solutions Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 March 2020

About the service

Reliance Care Solutions Limited is registered to provide personal care to people within their own homes. On the day of the inspection 10 people were being supported with personal care by the service.

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

The service was not always safe, systems and processes to maintain safety were not robust and risk assessments had not been completed for identified risks. Administration of medicines were not consistently recorded. Staffing levels were sufficient and staff were allocated to people to meet their requirements.

People’s needs were assessed though this was not reflected in care plans. Staff received training but had not completed the Care Certificate. People were supported with food preparation and a healthy diet where required. Staff work with external professionals in relation to people’s care needs.

Staff were caring towards the people they supported and met their needs. Staff promoted people’s dignity and independence when providing support to them. People were supported to express their views and make decisions about their care through contact with staff. People received care that met their needs although records did not always reflect this good practice.

People were supported by staff that spoke their language and could communicate effectively with them. People were not always involved in care planning processes as far as possible. Care plans did not always reflect people’s expressed needs and preferences. Staff responded to people’s needs were responded to including end of life care

Quality assurance and audit systems were not robust, they did not ensure risk assessments were in place or that care plans were accurate and up to date with the needs of people receiving the service.

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

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

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 10 December 2018) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection sufficient improvement had not been made and the provider remained in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the ‘Safe’ ‘Effective’, ‘Responsive’ and ‘Well-Led’ sections of this full report.

Enforcement

We have identified breaches in relation to safe care and treatment and good governance of the service at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. 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.

Inspection areas

Safe

Requires improvement

Updated 11 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 March 2020

The service was not always well-led.

Details are in our well-Led findings below.