Background to this inspection
Updated
20 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one Inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on the 22 January 2020 and ended on 23 January 2020. We visited the office location on the 22 January 2020 and visited two people in their homes. On the 23 January 2020 we spoke with people and their relatives on the telephone.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
What we did before inspection
We reviewed information we had received about the service since the last inspection such as notifications. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the provider (who was also the nominated individual), a director, the registered manager, duty manager and care staff.
We reviewed a range of records. This included four people's care and medicine records. We looked at three staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the quality and safety management monitoring of the service.
Updated
20 February 2020
Peace of Mind Home Support is a domiciliary care service providing personal care to people in their own homes. 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. At the time of the inspection the service was supporting a total of 43 people who received support with personal care.
People’s experience of using this service and what we found
People told us they felt safe with all the staff who supported them. They continued to receive care from a consistent staff team. There were enough staff to meet the needs of people.
There were procedures in place to help ensure only suitable staff were employed. However, we found essential pre-employment checks had not always been completed in line with the provider’s policy. We recommended the provider thoroughly reviews its recruitment processes to ensure they are compliant with legislation and best practice.
We found where people were at risk of falls guidance had not been provided to guide staff with action they should take to reduce the risk of harm. We recommended the provider implement a system to ensure staff have recorded guidance in how to support people with equipment provided to mobilise people safely.
People told us staff supported them to receive their medicines as prescribed. Not all care plans described the level of support people needed with the administration of their medicines. In response to our feedback the provider assured us a review of care plans would be carried out and this would be rectified immediately.
Staff had completed safeguarding training and understood their responsibilities to report any concerns to protect people from harm and abuse. There was a system for staff to report and record accidents and Incidents.
We recommended care planning include an assessment of people’s oral healthcare to ensure their health and wellbeing needs are met.
People told us staff were kind and caring and treated them with respect and dignity. People's independence was promoted and encouraged by staff.
People knew how to raise a complaint and felt confident any concerns would be addressed. People were encouraged to express their views on the service they received and to support continuous improvement.
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 provider had systems in place to monitor and provide good care and these were reviewed on a regular basis.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last The last rating for this service was Good (published 22 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.