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Archived: PASS Choices

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Inspection report

Date of Inspection: 18 May 2012
Date of Publication: 12 June 2012
Inspection Report published 12 June 2012 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received. The provider was meeting this standard.

User experience

We were unable to gain any user experience on this visit as the organisation was not actually yet providing personal care to any of its clients. This was not down to any shortfall in the provider's capability. PASS Choices had chosen to develop its business in accordance with the Government's personalisation agenda and was currently only providing low level support to its client base. Low level support could include, going out shopping, paying bills, cleaning or support with social activities and companionship.

Other evidence

PASS Choices had purchased a quality management system that provided them with a complete set of policies and procedures aligned with the Health and Social Care Act 2008 and its associated Regulations. This meant that whenever there were changes to policy or guidance they were supplied with the updated version. These policies, guidance and templates were available both in hard copy and online.

We saw evidence of an audit of staff recruitment files, which included a checklist to help ensure that all the required checks and paperwork were present and up to date.

In terms of monitoring the quality of care being provided to service users, as previously described PASS Choices was not at the time of inspection providing any personal care (the regulated activity for which it is was registered with CQC) however, we saw evidence of how the support they were providing was monitored. Staff told us providing person centred care and support was a key principle. A service user guide set out the philosophy of care, principles and values of the organisation and how that support would be delivered to promote the service user's independence in their own home.

There was a process on continuous monitoring to ensure that the support provided by the personal assistant remained relevant and to the required standard.

Staff described how they intended to conduct a survey to test service user opinion of what they were providing. The results of this survey were not yet available.

We did note that PASS Choices was using the CQC logo on a number of their publications including the website. It is against CQC policy for anyone to use their logo and the provider was directed to the relevant section of CQC's website where that decision is explained.