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Primavera Domiciliary Care Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 15 February 2020

About the service

Primavera Domiciliary Care Services Limited is a domiciliary care service providing the regulated activity of personal care to older people aged 65 and over in their own home, some of whom were living with dementia. At the time of the inspection the service was supporting 20 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 and relatives feedback about the service that they received from Primavera Domiciliary Care Services Limited was positive. People told us that they felt safe and received care and support from a regular team of care staff.

People and relatives told us that care staff were kind, caring and respectful and that they received care and support that upheld their privacy and dignity.

Management oversight systems in place enabled the registered manager to identify issues and improve the quality of care people received. However, completion of these and oversight to ensure required improvements were made, needed to be further improved upon.

Staff knew who to report their concerns to if they suspected people were subject to any form of abuse. The registered manager had systems in process to escalate and investigate concerns raised.

Risks associated with people’s health and care needs were identified and assessed so that care staff had clear guidance on how to support people safely.

People received their medicines safely and as prescribed.

Staff recruitment processes ensured that only those staff assessed as safe to work with vulnerable adults were recruited.

People were supported by a team of care staff that were appropriately trained and skilled to do so.

People’s nutrition and hydration needs were assessed and appropriate support provided where required.

Care staff were observant when supporting people and where concerns were identified with people’s health and medical needs these were reported and appropriate assistance sought to address these.

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; the policies and systems in the service supported/ did not support this practice.

People and relatives knew who to speak with if they had any concerns and were confident their concerns would be addressed and resolved.

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 7 January 2019). We found breaches of Regulations 9, 11, 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

Since the last inspection we recognised that the provider had failed to display their CQC ratings on their website as required. This was a breach of regulation and we issued a fixed penalty notice. The provider accepted the fixed penalty and paid this in full.

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.

Inspection areas

Safe

Good

Updated 15 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 15 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 15 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 15 February 2020

The service was not always well-led.

Details are in our well-Led findings below.