Royle Care Limited

Royle Care Limited is a domiciliary care agency which provides personal care and support to people living in their own homes. At the time of

the inspection there were 77 people receiving personal care from 48 staff.

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

We received information about concerns regarding staff not completing the required training to carry out their role. We contacted the provider and asked for information about staff training including information about how they ensured staff were trained to meet people's specific needs. This included the provider's staff training matrix, staff supervision and competency records and people's care plans. We visited the provider's office to speak with the registered manager. We found people received care from suitably skilled staff who had completed the relevant training.

Rating at last inspection

The last rating for this service was Good (published 3 May 2019)

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in response to concerns received about staff training. A decision was made for us to inspect and examine those risks. The overall rating for the service has not changed following this targeted inspection and remains Good.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. We found no evidence during this inspection that people were at risk of harm from these concerns.

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.

Royle Care Limited provides personal care and support to people living in their own homes. At the time of the inspection there were 54 people receiving personal care from 45 staff.

People’s experience of using this service:

• People experienced high quality care that was safe, effective, caring, responsive and well led, from a service which consistently demonstrated the characteristics of a good service in all areas.

• Without exception, people and their relatives provided positive feedback about all aspects of the care they received.

• People were protected from avoidable harm and abuse by staff members, who understood their role and responsibility in relation to safeguarding and keeping them safe.

• People experienced safe care, delivered in accordance with their risk assessments and management plans.

• The service deployed enough suitable staff who had been enabled with the required skills and knowledge to meet people’s needs.

• Staff members felt they were valued and respected by the management team, who actively sought their involvement to improve and develop the service.

• Staff members had meaningful, caring relationships with people, which respected their dignity and privacy, and promoted their independence.

• People’s care and support met their needs and reflected their preferences. The provider upheld people’s human rights.

• Staff members supported people to be actively involved in making decisions about their care.

• The provider assessed and met people's individual communication needs and responded quickly when people's needs changed.

• People experienced kind and compassionate care at the end of their life and were supported to have a comfortable, dignified and pain-free death.

• The service was well-managed by the registered manager, who provided clear and direct leadership

• The registered manager was a good role model who set high standards and inspired staff to meet them.

• Staff members worked in effectively in partnership with professionals to deliver care and support and developed links with the local community.

Rating at last inspection:

At the last inspection (published 21 November 2016) we rated the service good. At this inspection we found the service had remained good.

Why we inspected:

This was a planned inspection to check the service remained good.

Follow up:

We did not identify any concerns at this inspection. We will therefore re-inspect this service within our published timeframe for services rated good. We will continue to monitor the service through the information we receive. If any concerning information is received about the service we may inspect sooner.

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

Royle Care Limited is a domiciliary care agency providing care and support to mostly older people who live in the community. At the time of our inspection there were 47 people using the service and receiving personal care.

The service had a registered manager. A registered manager is a person who has registered with the CQC 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 and the nominated individual supported us during inspection.

People felt safe while supported by the staff and relatives agreed. Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns. Staff had the knowledge and confidence to identify safeguarding concerns and acted on these to keep people safe.

People were supported by sufficient staff to meet their individual needs. Some of them were not always informed about the changes to the visit and timings of the visit. Safe recruitment practices were followed before new staff were employed to work with people. Checks were made to ensure staff were of good character and suitable for their role.

There were safe medicines administration systems in place and people received their medicines when required. People's health and wellbeing was monitored and appropriate action was taken when required.

People were treated with respect and their privacy and dignity was promoted. People said their care and support workers were good and supported them in the way they wanted them to. Staff were responsive to the needs of the people they supported and enabled them to improve and maintain their independence with personal care. Risks to people’s personal safety were assessed and plans were in place to minimise those risks.

Staff training records indicated which training was considered mandatory by the provider. Staff were up to date with their mandatory training. The registered manager had planned and booked training when necessary to ensure all staff had appropriate knowledge to support people. Staff received supervision and appraisals to discuss various matters and review their performance.

People received support that was individualised to their specific needs. Their needs were monitored and support plans were kept under review and amended as changes occurred. People's rights to make their own decisions, where possible, were protected and staff were aware of their responsibilities to ensure people's rights to make their own decisions were promoted.

Staff felt they worked well together most of the time, which benefitted people. Staff felt management worked with them as a team most of the time though the communication and openness could be improved at times. The provider was aware of the concerns and action was being taken to address this.

Quality assurance systems were in place to monitor the quality of the service being delivered and the running of the service. The service always looked at improvements to ensure people received the best support.

People told us they had been involved in planning their care and support. One person said, 'The staff asked me what I needed and I told them.' We found that the assessment and care planning system was thorough and comprehensive. It gave clear guidance to staff about how to deliver care safely and effectively. People's individual preferences and wishes were recorded in their care plan. People told us they were always treated with dignity and respect. One person said, 'The staff know how I like things done.' Another person said, 'The carers are very kind and always ask me what I want.'

Staff understood the provider's safeguarding procedures and understood their individual responsibilities to report concerns. People who use the service told us they liked the staff, felt safe and trusted them.

Staff told us they felt well supported and were provided with appropriate training to enable them to care for people safely and effectively.

The service effectively monitored the quality of services provided. We saw people were regularly asked for their views about the quality of services delivered.