Archived: 1 Stop Rec Limited

Updated 15 April 2022

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience between 07 and 17 March 2022. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 did not currently have a manager registered with the Care Quality Commission. The previous registered manager resigned 18 February 2022. A new manager is in post and making an application to CQC. 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

This inspection was announced. 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 manager would be in the office to support the inspection.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with one person who used the service. We also spoke with the director, the manager and two members of staff. We reviewed a range of records including one person's care records and two staff files in relation to recruitment, induction and supervision.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and a variety of records relating to the management of the service, including policies and procedures.

Updated 15 April 2022

About the service

1 Stop Rec Ltd is a domiciliary care service providing personal care to people in their own homes. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where people receive personal care, we also consider any wider social care provided. At the time of the inspection three people were using the service however only one person received support with their personal care.

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

The service currently had no registered manager. A new manager is in post and is in the process of making an application to CQC to become the registered manager for the service. The manager told us they were looking to take on more care packages in the community to build the business. They and the director of the company have a clear vision and strategy for delivering a high-quality service, in an open and transparent way to achieve good outcomes for people.

Currents systems in place to assess, monitor and improve the quality of the service had not yet been fully embedded to drive the required improvements. Quality assurance arrangements needed to be more robust, as these had not identified issues we found during this inspection, in relation to safe recruitment and staff knowledge and understanding of safeguarding and principles of the Mental Capacity Act (MCA) 2005.

The person using the service was happy with the care and support they received and the staff supporting them. The system used to arrange, and monitor visit times was utilised effectively to ensure they received a consistent and reliable service.

There were enough staff employed to support the number of people using the agency. Systems were in place to recruit the right staff; however further work was needed to explore gaps in prospective staff’s employment history. The manager took immediate action to rectify this omission, putting processes in place when checking recruitment records.

Staff were aware of the needs of the person using the service and supported them to manage risks to their safety whilst supporting them to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests: the policies and systems in the service supported this practice.

Systems were in place to ensure staff followed infection prevention and control guidelines and managed medicines safely.

People's needs were assessed before using the service. Care plans contained comprehensive information about their routines and guidance on how to meet their specific needs. Staff had good insight into the person's needs and how to provide their care, including their likes and dislikes and what they could do for themselves.

Staff had been provided with training to give them the knowledge and skills to carry out their roles. 'Spot checks' were being implemented to monitor staff practice and ensure they were working safely. Staff treated the person using the service with dignity, respect and kindness. Staff understood their responsibilities to respect people's right to privacy, confidentiality and to promote their independence.

Systems were in place to respond to and investigate complaints and used to improve the service. Feedback via surveys reflected people were satisfied with the service they received.

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

Rating at last inspection

The service was registered on 26 January 2012. The last inspection of this service was (published 28 September 2013) but not rated. Since the last inspection the service has been classed as ‘Dormant’, meaning it has been temporarily inactive. The service became active again on 29 January 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to check the safety and quality of the care people received.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 1 Stop Rec Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.