Panacea Care

Updated 5 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 6 March 2018 and was announced. One inspector carried out the inspection and we announced the inspection the day before because the location provides a small supported living service for people who are often out during the day. We needed to be sure that they would be in and that staff would be available to assist with the inspection.

We reviewed the information we held about the service. This included the last inspection report, statutory notifications about incidents and events affecting people using the service and a Provider Information Return (PIR) sent to us in February 2018. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

At this inspection we spoke with three people who use the service, the registered manager and a support worker. We reviewed the care records for two people using the service. We also reviewed two staff recruitment files and records related to the running of the service. These included, checks and audits carried out on the environment, medicines records and satisfaction surveys to monitor quality in the service and to identify areas for improvements.

Following on from the inspection we emailed two social care professionals to gain their views on the service and we received feedback from one.

Updated 5 April 2018

This announced inspection took place on 6 March 2018.

Panacea Care provides personal care and support to people who have mental health needs within a supported living and a domiciliary care setting. People living in a ‘supported living’ setting receive care and support, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. This inspection we looked at people’s personal care and support people received. At the time of our inspection Panacea Care provided shared accommodation and support to 11 people living in two supported living settings one of which was the address of the registered location.

The domiciliary care service was about providing home care support to people who have mental health needs and/or learning disabilities who are living in the community. At this inspection there were two people using this particular service but none of them were receiving personal care so we did not inspect this aspect of the service.

At our last inspection carried out on the 14 November 2016 we rated the service Good. This had been a focused inspection to check on a breach of Regulation 18, which was met. The previous comprehensive inspection took place on 30 and 31 March 2016. At this inspection on 6 March 2018 we found the evidence continued to support the rating of Good.

The owner of the company was also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager worked alongside staff on shift so that they could see how the service met people's needs.

People were happy using the service. They felt supported and were developing daily living skills to help them potentially live independently. People had been involved with planning their care and had consented to the support they received.

People’s care records included their needs and preferences. Information had been reviewed on a regular basis to help ensure people’s needs were being met. People had access to the health care services they needed and their nutritional needs were being met.

The risks to people's safety and wellbeing were assessed. People were supported to manage their own safety and remain as independent as they could be. The provider had processes in place for the recording of incidents and accidents.

Staff received training on safeguarding adults from abuse and there were policies and procedures in place to inform staff on what to do if they had a concern about a person’s welfare and safety. There had been no safeguarding incidents.

There were enough staff on duty to meet people's needs. Employment checks were in place to obtain information about new staff before they were allowed to support people. People were supported by staff who were sufficiently trained and supervised.

People were given the support they needed with medicines and there were regular audits carried out to help ensure people received their medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People using the service, staff and others were asked for their feedback on the service so that the registered manager could identify what was working well and where improvements needed to be made.

There was a complaints procedure available and people told us they knew how to raise a concern or complaint.

There were checks and regular audits on a range of areas in the service to ensure people received safe good care.