Background to this inspection
Updated
23 October 2020
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 one inspector.
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 registered with the Care Quality Commission. This means that they and the provider 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 short notice of the inspection as we were mindful of the impact and added pressures of the COVID-19 pandemic on the service. This meant we took account of the exceptional circumstances and requirements arising as a result of the COVID-19 pandemic.
Inspection activity started on 5 October 2020 and ended on 9 October 2020. We visited the office location on 5 October 2020 and made telephone calls to people, relatives and staff on 7 and 8 October 2020. The other days were spent reviewing records, speaking to staff, people and their relatives who used the service.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We reviewed the provider’s action plan as well as information we had received about the service since the last inspection. This information helps support our inspections.
During the inspection
We spoke with the registered manager. We reviewed a range of records. This included six people’s care plans and three people’s medicine records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with two people using the service and four relatives of people using the service. We also spoke with four care staff. We continued to seek clarification from the registered manager to validate evidence found.
Updated
23 October 2020
About the service
Rupaal Care and Training Ltd is a domiciliary care service providing personal care to people living in their own homes. The service supports people living with dementia and people with mild learning disabilities and physical disabilities. At the time of this inspection the service was supporting seven 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
Since the last inspection the registered manager had implemented systems and processes to address the issues we had identified at the last inspection.
People and relatives were happy with the care and support that they received from this service and spoke positively of the registered manager and the way in which care was delivered.
People and relatives told us they felt safe receiving care and support from their allocated care staff. Care staff spoke passionately about keeping people safe and knew the actions they would take if they had any concerns.
People’s care plans recorded risks associated with their health, medical and care needs with clear direction to care staff on how to minimise identified risks to keep people safe from harm.
People were supported by a regular team of care staff who people knew well. They arrived on time and supported them with their needs. Relevant and appropriate checks had been completed on prospective staff wishing to work with the service to ensure their suitability for the role.
People received their medicines safely and as prescribed. Policies and systems in place supported this.
Care staff had access to the required personal protective equipment (PPE), information and guidance to prevent and control the spread of infection.
Management oversight of the service had improved since the last inspection. The registered manager had implemented audits and checks to monitor the quality of care and ensure where issues were identified these were addressed.
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 8 October 2019) and there was a breach of Regulation 17 (Good Governance). 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 29 August 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 and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rupaal Care and Training 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.