Background to this inspection
Updated
23 March 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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of one inspector.
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 CQC. 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.
Inspection activity started on 8 March 2022 and ended on 14 March 2022. We visited the location’s office on 9 March 2022.
What we did before the inspection
We reviewed information we had received about the service since registration with us. We sought feedback from health and social care professionals who work with 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. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed a range of records including the person’s care records, medicines administration and recruitment records for three staff, training records and records relating to the management of the service.
We spoke with a relative, the person using the service, five members of staff and a visiting health professional. In addition, we received feedback via email from a further three health and social care professionals. You can see what they told us in the main body of the report.
After the inspection
The registered manager continued to send us information including the service user guide.
Updated
23 March 2022
About the service
Pride Health & Social Care is a domiciliary care agency that provides personal care to people living in their own homes in the community. At the time of the inspection the agency was supporting one person with a 24-hour package of care. The provider supports people with complex care needs including learning disabilities, mental health and autistic 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 were safe. Policies and procedures were in place to guide staff on how to keep people safe and what they had to do if they had concerns. Staff understood the risks to people's safety and wellbeing and what they should do to keep people safe. There were enough staff at the time of the inspection. A core team of staff supported the person providing 24-hour care. Contingency plans were in place to cover absence. Systems were in place to ensure the right staff were recruited.
Staff received relevant training to help them meet people's needs. Staff were well supported by the registered manager and the management team. Staff had regularly individual and group supervisions. These along with spot checks were used to encourage continual learning and to make improvements to the service.
Staff respected people's rights to privacy, dignity and independence. They knew the person they were supporting well and described care that was person centred and very much led by the individual.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Care was planned with the person enabling them to lead a full and active life doing things that mattered to them. Staff supported the person to learn new skills such as budgeting, shopping, cooking and household chores.
Right support: Model of care and setting maximises people’s choice, control and Independence; Right care: Care is person-centred and promotes people’s dignity, privacy and human rights; Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
The registered manager and provider monitored and reviewed the quality of service. This included checking the views of the person using the service about the care and support they had experienced and any areas for improvement. As the service grows the registered manager knew that more formal systems would be needed to seek the views of relatives, people, staff and other stakeholders such as surveys.
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
This service was registered with us on 3 April 2018 and this is the first inspection.
Why we inspected
This was a planned inspection to provide the service with a rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.