Background to this inspection
Updated
20 January 2021
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 was completed 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.
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
This inspection was announced.
We gave the service 24 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 3 December 2020 and ended on 7 December 2020. We visited the office location on 3 December 2020.
What we did before the inspection
We reviewed information we had received about the service since the service was registered. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service and the relatives of three other people about their experience of the care provided. We spoke with seven members of staff including the nominated individual, the care co-ordinator, the registered manager and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included four people’s care records and three people's medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were also reviewed.
After the inspection
We continued to seek clarification from the provider and reviewed a range of records including care plans, risk assessments and staff duty rotas.
Updated
20 January 2021
About the service
Roman Caring Services Limited is a domiciliary care agency that was providing support to five people at the time of the inspection.
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
We identified some inconsistencies and gaps in some records. The provider had an action plan in place to address these issues.
We made a recommendation about the quality assurance of records.
The provider completed regular quality checks and where actions were identified these were addressed to bring about improvements.
People felt the care they received was safe. Sufficient numbers of staff were employed to meet people's needs and provide safe care. Risks to people had been assessed and action taken to mitigate them. Staff administered medicines to people on time and records were maintained. Staff had sufficient supplies of personal protective equipment (PPE) and people confirmed staff wore face masks at all times.
People's needs had been assessed and planned in consultation with people and their relatives. Staff received training to carry out the care and support people needed and felt supported in their role.
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 were supported by regular staff who people and their relatives were happy with. Their comments included, “They are confident and have lots of common sense; makes life easier." "They are helpful. They have never not turned up" and "They have caring staff and I have a good repartee with them."
The provider contacted people regularly to review their care and to ensure they were happy with the support they received. People knew who to contact if they had any concerns and felt confident any complaints would be taken seriously. One person told us, "I've got a phone number, I would ring that number if I had any concerns. I'm sure they would deal with any complaints."
People and their relatives felt the service was well run and the provider was open and transparent. Staff told us they enjoyed working for 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
This service was registered with us on 24 May 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered.
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.