Background to this inspection
Updated
26 May 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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors. One inspector used technology such as electronic file sharing and video or telephone calls to engage with the registered provider, a person using the service and staff. The other inspector visited the registered provider’s office on 06 May 2022.
Service and service type
This is a domiciliary care agency. It provides personal care to people living in their own homes.
Notice of inspection
This inspection was announced.
We gave service short notice to the registered provider on 03 May 2022. This was because we needed to be sure they would be available to attend a video-meeting with us and be available to support the inspection visit to their office on 06 May 2022.
Inspection activity started on 03 May 2022 and ended on 11 May 2022.
What we did before the inspection
We reviewed the information we had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We used technology such as video calls and telephone calls to enable us to engage with one person and their relative who used the service to gain their feedback. We also spoke with the provider and one staff member. We used electronic file sharing to enable us to review documentation. This included one care plan and medication record, policies and procedures and audits the registered provider used to assure themselves they provided a safe service.
We visited the registered provider’s office and reviewed records including one staff recruitment file and quality monitoring systems. We spoke with the provider, who is also the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
26 May 2022
About the service
Coventry Twilight Recruitment Limited is a domiciliary care agency which is registered to provide personal care and support to people in their own homes. The service is registered to provide support to younger adults, people living with physical disabilities, people living with sensory disabilities, people with a learning disability, autistic people, people with mental health support needs, older people and people with dementia. At the time of our inspection the service was supporting one person who was receiving 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’s needs were assessed before they started using the service. People and relatives were involved in this initial assessment and this formed their plan of care.
The person supported received care and support consistently from one staff member who knew them very well and how to keep them safe from harm, injury and risks of abuse. The provider had identified some risks, and basic risk management was included in the person’s plan of care. However, more detail and greater depth of information was needed in risk management, which the registered manager assured us they would add.
The person felt safe during their care calls and gave us positive feedback about the service. The person and their relatives described the provider and staff member as kind and caring toward them. The staff member followed healthcare professional guidance in supporting the person.
The provider and staff member had completed training. The provider understood the importance of training staff when they recruited them in the future as their business grew.
Some quality checks took place on records, but these were not always recorded and were limited. Further improvement was needed.
There had been no missed care calls. People had no complaints about the service.
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.
Rating at last inspection
This service was rated Requires Improvement and the report was published January 2020.
Why we inspected
At our last inspection we found a breach in the regulations of safe care and treatment and a breach in the regulations of the provider’s quality monitoring systems. This inspection took place so we could monitor the improvements the provider told us they had made.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.