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Inspection Summary


Overall summary & rating

Good

Updated 28 September 2018

We carried out an announced comprehensive inspection on 23 and 24 August 2018.

Premier Community Service is a domiciliary care service. They provide assistance to older people, and people living with disabilities who require support with personal care and daily living tasks. The agency is based in Exmouth and provides a service to people living in Exmouth and the surrounding area. At the time of this inspection they provided personal care to approximately 48 people.

At our last inspection we rated the service as Good overall. We rated the Safe domain as requires improvement because satisfactory recruitment checks had not been carried out. At this inspection we found action had been taken to address the previous issues we found relating to recruitment. This domain is now rated as Good. The evidence continued to support the rating of Good overall and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

Why the service is rated Good

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager is also the provider.

People told us they felt safe. Care was taken to recruit and select the right staff for the job. Recruitment processes helped the provider choose applicants with the right values and caring qualities for the job. Staff had received training on safeguarding and knew how to identify and report any concerns about potential abuse.

Risks to people’s health and safety had been assessed and staff had been given information and training about these as well. Staff understood specific health conditions and knew how to recognise signs of illness and when to seek medical intervention. People were supported to manage their medicines safely.

People told us the service was effective. Comments included “I have been having wonderful care from this agency” and “I have no problems whatsoever. I would recommend them to anyone.” People received a reliable service from small teams of staff who knew them well and understood their needs. Staff were well trained and well supported. Staff had the skills and information they needed to ensure people’s needs were fully met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Consent to care and treatment was always sought in line with legislation and guidance. The service understood their legal responsibility to ensure they complied with the Mental Capacity Act. People receive support from staff who respected and promoted equality and diversity.

People told us the staff were always caring. Comments from people included “They are good, kind, caring and professional”, “The carers behave like friends and I look forward to seeing them” and “They are all very kind.” Staff were compassionate and understood the things that mattered to people. We heard examples of how they had made a positive difference to people’s lives and how the staff sometimes went above and beyond their regular duties to make sure people were happy and safe.

People received a service that was responsive to their changing needs. People received personalised and responsive care from staff who knew and understood their needs. Support plans were drawn up and agreed with people before the service began. The plans were regularly reviewed and updated to ensure staff always

Inspection areas

Safe

Good

Updated 28 September 2018

The service has improved to Good.

People are now protected from harm or abuse by robust recruitment policies and procedures.

People continued to be supported by enough staff who arrived on time and stayed for the required time.

Staff continued to demonstrate an understanding of what constitutes abuse and know how to report any concerns they might have.

People continued to feel safe because staff were reliable and knew how to care for them.

Risks to people’s health and safety continued to be well assessed and managed.

People continued to be supported with their medicines in a safe way.

Effective

Good

Updated 28 September 2018

The service remains Good

Caring

Good

Updated 28 September 2018

The service remains Good

Responsive

Good

Updated 28 September 2018

The service remains Good

Well-led

Good

Updated 28 September 2018

The service remains Good