Greenstaff Medical limited

Updated 30 June 2022

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

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 homes.

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 24 hours’ notice of the inspection. Inspection activity started on 17/05/2022 and ended on 26/05/2022.

What we did before the 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 reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as phone and video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation.

We spoke with relatives of two people who used the service, seven staff members including the registered manager, a booking co-ordinator and the quality manager.

We reviewed a range of records. This included three people’s care records. We looked at and reviewed multiple documents submitted by the provider. These included policies and other information relevant to the running of the service.

Updated 30 June 2022

ICG Medical is a domiciliary care agency providing personal care to people, mainly younger adults and children with complex care needs. Not everyone who used the service received personal care. At the time of our inspection they were providing personal care to four people across the whole of England. The Care Quality Commission (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 have made a recommendation to the provider around spot checks for staff and its process for submitting statutory notifications to the CQC.

Relatives of people using the service told us they satisfied with the care and support they received for their family members which were often complex cases involving multi-disciplinary teams. They told us they felt safe in the presence of care workers. There were robust recruitment checks in place and we found there were enough staff to meet people’s needs, they were arranged into small teams providing care for people over extended periods throughout the day. The provider followed good infection control and medicines practice. Risks to people were assessed and behaviour management plans were in place to support people around behaviours that could be seen as challenging.

Staff were given appropriate training which helped them to carry out their roles effectively. People’s dietary and ongoing health needs were met by the provider.

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 service was caring. Relatives told us that stable staff teams meant that people were cared for by staff who knew them well. People and their relatives were involved in directing their care, in partnership with the provider and other professionals. People were supported to remain as independent as possible and their dignity and privacy was respected,

Care plans were kept under constant review and updated as necessary. People were supported in line with their wishes and were encouraged to improve their daily living skills. The provider listened when concerns or complaints were made and investigated these in a timely manner.

The registered manager and other senior staff were approachable and listened to people, relatives, staff and professionals. Quality assurance checks to monitor the quality of service took place. The provider had an ongoing improvement plan in place which was effective in identifying and addressing any areas of improvement.

Rating at last inspection

This service was registered with us on 19 November 2019 and this is the first inspection.

Why we inspected

This service was inspected based on the when the service first registered with us and this is the first inspection.

Follow-up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.