Background to this inspection
Updated
2 November 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 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced.
We gave the service 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 02 September 2022 and ended on 18 October 2022. We visited the location’s office on 12 September 2022, but were unable to meet with the provider. We visited the location’s office again on 05 October 2022.
What we did before the inspection
We reviewed all information we held about the service. We sought feedback from the local authority about 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 to the registered manager, who was the sole member of staff providing support to people at the time of the inspection. We reviewed two peoples care files, and two staff files in relation to recruitment. We also reviewed a range of documents relating to the management of the service, including policies, procedures, and a range of quality audits, and feedback information from people and families. After the inspection we received additional information from the provider, as requested.
Updated
2 November 2022
About the service
Michael Rgis Care is a domiciliary care service providing personal care to people in their own houses and flats. The service provides support to older people. At the time of our inspection there were six people using the service.
People’s experience of using this service and what we found
Risks to people had been documented, but assessments were not detailed enough to provide staff with adequate information.
We have made a recommendation the provider reviews risks in line with best practice guidance.
People received care in a personalised way, in line with their preferences. Only one staff member, the registered manager, provided care to people, this gave people consistency in staff and the care provided. Staff were safely recruited and had adequate checks. No one using the service required medication administration, but staff were still trained should peoples circumstances change.
People and their families were involved in the creation and updating of their care plans, which were person centred and written simply. The registered manager ensured peoples preferences and wishes were well documented. Staff received a range of training to enable them to support people appropriately. As the registered manager was the only staff providing care, they had implemented contingency plans, should they not be able to work.
Staff built a good rapport with people and with their families, and knew them well, knowing what people’s references were. The registered manager wanted to encourage people to remain as independent as possible, while being conscious of people’s dignity and privacy. 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.
The registered manager kept the service under regular review, completing audits to ensure systems were working well, regularly updating policies, and regularly seeking both formal and informal feedback regarding how people and their families were experiencing the service.
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 22 November 2018 and this is the first inspection.
Why we inspected
This was a planned inspection as the service had not been rated.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Rating at last inspection and update
This service was registered with us on 22 November 2018 and this is the first inspection.
Why we inspected
This was a planned inspection as the service had not been rated.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.