We carried out a review of the data available to us about Reto 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 Reto Care Limited, you can give feedback on this service.
Reto Care Limited is a domiciliary care agency. The service provides personal care to people with learning disabilities, people who live with dementia, older people, people with mental health concerns, younger adults and people with sensory needs in their own homes. At the time of our inspection there were 30 people using the service.
Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of key questions safe and well led. The service was able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture.
People’s experience of using this service and what we found
Right Support: People were safe and protected from avoidable harm. Detailed risk assessments were in place and regularly reviewed to make sure staff knew how to support people safely. Medicines were managed safely. There were enough staff to meet people's needs and support people in meeting their lifestyle choices. Staff were safely recruited. People were supported to have maximum choice and control of their lives.
Right Care: The support provided focused on people's quality of life. Care delivery was person-centred. Care was planned to meet people's preferences and in a way that met people's individual needs. People and their relatives told us that staff treated them with dignity and respect.
Right Culture: The registered provider had audit systems in place to make sure people were safe and received the support they needed and had a good quality of life. Staff received training appropriate to the needs of the people they supported and understood the mission, visions and values of the service. People had opportunities for their views of the service to be heard.
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 information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
At our last inspection we rated the service as requires improvement and we recommended that the provider make improvements in their systems to manage medicines safely and the updating and reviewing of people’s care plans. At this inspection we found that improvements had been made.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This service is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection the agency was providing personal care to 12 people.
People’s experience of using this service:
We found the systems in place to assess, monitor and improve quality were not fully effective.
Improvements were required to ensure medicines were managed safely and to ensure accurate and up to date copies of people’s care records were available at the office.
The systems in place to record incidents required improvement to ensure this information was accurate.
People were protected from the risk of abuse and avoidable harm because staff had been safely recruited and they knew how to recognise and report abuse. Safe staffing levels were maintained and staff understood how to manage the risks associated with care, including the risks associated with infection.
Staff had the knowledge and skills required to provide effective care. Care records guided staff in how to meet people’s health, wellbeing and nutritional needs.
Effective systems were in place that ensured people’s consent to care was gained. Staff demonstrated how they would support people who were unable to consent to their care. The approach staff described followed the requirements of the Mental Capacity Act 2005 to ensure decisions were made in people’s best interests.
People were supported by caring staff who promoted their right to privacy, dignity and independence.
People were involved in the planning of their care and care and support was delivered in line with people’s individual preferences.
Effective systems were in place to ensure lessons were learned from incidents and complaints.
The service met the characteristics of ‘requires improvement’ in safe and well-led and good in effective, caring and responsive. This meant the service was rated as ‘requires improvement’ overall. No Regulatory breaches were identified, more information is available in the full report below.
Rating at last inspection:
This was the first inspection of this location.
Why we inspected:
This was a planned inspection and was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor the service to ensure that people received safe, high quality care. Further inspections will be planned for future dates.