Archived: Blue Rosey Homecare Ltd

Updated 2 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection was announced and was undertaken by one adult social care inspector. We gave the provider 48 hours’ notice of the inspection because we wanted key people to be available.

Prior to the inspection we looked at the information we had about the service. We looked at the Provider Information Return (PIR) that had been submitted on 11 May 2018. This is a form that asked the provider to give some key information about the service, what the service does well and improvements they planned to make. We reviewed the information included in the PIR and used it to assist in our planning of the inspection. Since the service was initially registered in June 2017 we have not received any notifications from the service. Notifications are information about specific important events the service is legally required to report to us.

During our inspection we spoke with the relatives or friends of the three people who received a service from Blue Rosey Homecare. We spoke with the three directors of the service, one of whom is the registered manager. The service does not employ any other care staff.

We looked at the care records for the three people who were supported plus the initial care documentation for a prospective new person they will support in the future. We checked that disclosure and barring service (DBS) checks were in place for the three directors, their training records and other records relating to the running of the business.

We received feedback from one social care professional after our inspection. Their comments have been included in the main body of the report and have supported our findings.

Updated 2 August 2018

Blue Rosey Homecare is registered to provide the regulated activity of personal care to people in their own homes.

This was the first inspection of this service since it was registered in August 2017. The inspection was announced. We gave the registered manager 48 hours’ notice of the inspection. We did this to ensure key staff were available for the inspection. At the time of the inspection the service was providing personal care to three people – two people received regular help daily and a third person on an ad-hoc basis when they requested support. Since the inspection was completed, the capacity of the service to support people had reduced. This was because only the registered manager was available to cover care calls.

Why the service is rated Requires Improvement

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. 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 provider did not have effective governance arrangements in place. They did not have measures in place to assess, monitor and make improvements to the service to ensure the service was safe and of good quality. The registered manager was unaware of the CQC guidance for providers on meeting the regulations and the key lines of enquiry, covering all the regulations.

The provider did not have suitable arrangements in place to ensure the directors, who were currently covering all care calls, were well trained and had the appropriate skills and competencies. There were no arrangements in place to ensure any new staff would receive induction training and Care Certificate training.

The service people received was safe. There were effective safeguarding systems in place and people were protected from harm. Safe recruitment procedures would ensure only suitable workers were employed. Any risks to people’s health and welfare were assessed and management plans put in place to reduce or eliminate that risk.

People received a caring service. The directors demonstrated their kindness and had caring attitudes. People were treated with kindness, respect and dignity. People were encouraged to make decision about their care and involved in planning the care and support they received.

The service was responsive and provided each person with a person-centred service. A plan of care was not in place for each person. There was continuity of care to people because the directors were covering all calls. People were encouraged to have a say about how they were looked after.

We found three breaches of the Health & Social Care Act 2008 (Regulated Activities) Regulations 2014.