The Peaches Healthcare Limited

Updated 25 July 2019

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 visit was carried out by one inspector. As part of the inspection we contacted people who used the service, staff and other stakeholders by telephone. Some of these telephone calls were made by 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.

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 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.

What we did before the inspection

We looked at all the information we held about the provider. This included information they had shared with us during their registration, notifications of significant events and information from the Provider Information Return (PIR). 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. This information helps support our inspections. We looked at publicly available information, such as the provider's own website.

We used all of this information to plan our inspection.

During the inspection

We met the registered manager, field care supervisor and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at records used by the provider to manage the service. These included care records for four people, staff recruitment records for four members of staff, records of staff training, supervision and support, records of complaints, accidents and incidents and quality monitoring information.

We spoke with one person who used the service and the relatives of three other people. We received feedback from three care workers about their experiences.

Updated 25 July 2019

About the service

The Peaches Healthcare Limited is a domiciliary care service providing personal care and support to people in their own homes in Surrey and the London Borough of Ealing. At the time of our inspection nine people over the age of 55 years were using the service. Some people were living with the experience of dementia.

This was the only location for the provider.

People’s experience of using this service and what we found

People using the service and their relatives were happy with the service they received. Their needs were met in a personalised way and they had been involved in planning and reviewing their care. People said that the staff were kind, caring and they had developed good relationships with them.

The provider worked closely with other professionals to make sure people had access to health care services. People received medicines safely and as prescribed. Where people were supported to eat and drink, this had been planned for and people were able to make choices about this.

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.

People's needs were assessed before they started using the service and care plans were developed to show what support the staff should provide. The care plans were regularly reviewed involving people and those who were important to them. Risks to their safety and wellbeing were appropriately assessed.

The staff working at the agency were happy and felt well supported. They enjoyed their work and spoke positively about the people they cared for. They received the training, support and information they needed to provide effective care. The agency's procedures for recruiting and inducting staff made sure only suitable staff were employed.

The agency was a private limited company managed by two directors who were involved in the day to day running. One of them was the registered manager. They had regular contact with people using the service, staff and other stakeholders. There were systems for monitoring the quality of the service, gathering feedback from others and making continuous improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This was the first inspection of the service since it was registered on 23 February 2018.

Why we inspected

This was a planned inspection based on the date the service started operating.

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.