We carried out a review of the data available to us about Rusko Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rusko Care Ltd, you can give feedback on this service.
About the service
Rusko Care limited is a domiciliary care agency providing personal care to people living in their own home. People receiving the service were living in an extra care setting. At the time of the inspection 18 people were receiving the regulated activity, personal care.
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
People were not fully safeguarded from the risk of abuse. When incidents had occurred that put people at risk the registered manager had taken action to make sure people were safe. However, on two occasions the registered manager had not discussed these incidents with the local safeguarding authority to find out if they felt further investigations were necessary. The registered manager took immediate action to address this after the inspection. When there were any incidents and accidents these were recorded, and steps were taken to prevent any re-occurrence
Risk to people health and safety where identified. However, guidance on what action to take if the risk occurred was not consistently recorded. Staff did know what action to take in the event of a risk incident. The registered manger had taken action to address the shortfall.
Staff communicated effectively with people and each other to make sure people's needs were met in the way they had chosen. When people were unwell or needed extra support, they were referred to health care professionals and other external agencies. People received person-centred care that promoted their dignity and independence. Staff followed infection control policies and practices to help protect people from any infection.
People told us the service was well managed. People and their relatives gave positive feedback about the service they received. They said the registered manager was approachable and sorted out any issues they had. People and their relatives spoke highly of the registered manager and staff. People said they felt safe with the staff when they received care in their own homes. People told us they were treated kindly and compassionately by the staff.
Staff knew their roles and were able to tell us about the values and the vision of the service. There were adequate quality assurance measures in place. The registered manager visited people and made calls to check people were happy with the service. Any complaints that were made were managed in the right way and people had been invited to suggest improvements to the service.
There were sufficient numbers of staff to provide the care people needed. People and their relatives said staff arrived when they should and stayed the allotted amount of time. They reported they had not had any missed calls. Staff received the training they needed to look after people in the way that suited them best. Staff received support, guidance and advice from the registered manager. The registered manager regularly worked alongside the staff team and checked that staff were working with people safely. All safety recruitment checks were completed before staff started working with people.
People were supported to express their views and make decisions about their care. 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's needs were assessed and reviewed to ensure care being delivered was up to date and reflective of their needs. People had care plans that provided detailed guidance for staff on the support and care that they needed on a daily basis. Care plans were specific and personalised. People were supported to do things they wanted to do. People consented to their care and were supported by staff who were trained to fulfil their roles effectively. Staff were aware of the importance of good nutrition to people's health and well-being. Medicines were managed safety and people received their medicines as prescribed by their doctor.
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 10 November 2020 and this is the first inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner