10 August 2023
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 Health and Social Care Act 2008.
This inspection was carried out by one inspector.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 22 June 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 3 people who use the service, and 1 relative of a person who used the service. We also spoke with 3 staff members, and the registered manager. We looked at a range of records including care plans, risk assessments, staff files, audits, and medicine administration records.
10 August 2023
About the service
Rosebud Homecare Ltd is a domiciliary care service providing personal to people in their own homes. 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. At the time of our inspection there were 9 people receiving personal care using the service.
People’s experience of using this service and what we found
Systems and processes were not always in place to ensure that documentation was complete, dated and reviewed.
People were supported safely by staff. Systems and processes were in place to monitor this. Recruitment procedures helped ensure only suitable staff were employed to support people. There were sufficient staff to meet people’s needs.
People received the support they required with their medicines. Staff worked consistently within the providers policy and procedure for infection prevention and control.
People’s had their needs assessed and reviewed before using the service. People’s health care needs were documented, and staff knew when to liaise with health care professionals . Staff had the knowledge and experience to meet people’s needs and were trained appropriately.
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 this practice.
Staff were supported through ongoing monitoring and good communication. Information was shared with staff to support the delivery of good quality care.
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 on 1 August 2019.
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
We carried out an announced comprehensive inspection of this service on 1 July 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.