Background to this inspection
Updated
31 March 2021
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 Care Act 2014.
Inspection team
This inspection was carried out by an inspector and an Expert by Experience. 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 had a manager who was also the provider registered with the Care Quality Commission. This means they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure the provider would be in the office to support the inspection.
Inspection activity started on 11 February 2021 and ended on 18 March 2021. We visited the office location on 11 February 2021. We spoke with people and relatives on 22 February 2021 and staff on 18 March 2021.
What we did before the inspection
We reviewed information we received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the provider. We reviewed a range of documents relating to how the service was managed including; two people’s care plans, staff training records, staff supervision records and policies and procedures. We looked at records related to protecting people from harm as well as systems used to monitor quality of care.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with one person who received this service, two relatives and two members of care staff.
Updated
31 March 2021
About the service
Olive Tree (Kirklees) Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection the service was providing personal care to three people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People received their medicines safely and they were administered by trained staff. Staff knew how to keep people safe and understood their safeguarding responsibilities. People were satisfied with the service they received. A relative told us, “I feel [person] is safe when the care staff are there.” Care and support needs were documented. People were protected from the risk of infection.
Staff we spoke with had a clear understanding of their roles. A number of audits were undertaken of the quality and safety of the service. These were analysed and any patterns or trends addressed where necessary. People were supported by staff who were motivated, enjoyed their job and felt well supported. Staff received regular supervision, assessments of their competency and training. The provider had a clear vision about the quality of care they wanted to provide.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 31 December 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
Why we inspected
We received concerns in relation to peoples care needs, staff recruitment, training practices and PPE. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has improved to good. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Olive Tree (Kirklees) Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.