Background to this inspection
Updated
25 January 2023
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
This inspection was carried out by a single 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 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.
What we did before the inspection
We looked at the information we held about the service. We used information gathered as part of monitoring activity that took place on 17 October 2022 to help plan the inspection and inform our judgements.
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 visited the office on 6 December 2022. We spoke with the registered manager and reviewed two staff records and a care plan and risk assessments for the person that used the service. We looked at other records related to the running of the service.
We spoke with a family member of the service user and two staff members by phone on 7 December 2022 to gain their views about the service.
Overall inspection
Insufficient evidence to rate
Updated
25 January 2023
About the service
Olives Healthcare Services is a domiciliary care service. The service provides personal care and support to adults, with a range of needs, in their own homes. At the time of our inspection one person was using the service.
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 found oversight and quality monitoring at the service was not effective. There was no business contingency plan for emergencies. There was an absence of detailed records in respect of assessments of care needs, risks and care planning. Staff did not experience a formal programme of support or supervision. Audits were informal and not always recorded. People said they received person centred care, but the care plans to guide staff were not person centred.
The feedback we received about the service was positive throughout. People told us they felt safe using the service. Staff understood their needs and risks and were very kind caring and reliable.
Recruitment checks were completed on new staff and there were safe infection control processes in place.
People said they were supported to be as independent as possible and that staff treated them with respect and dignity.
A relative said the service was well run and they were asked for their views about the service. Staff gave positive feedback about the registered manager and said they were approachable and supportive.
We were unable to evidence some aspects of some key questions at this inspection.
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 22 April 2021 and this is the first inspection.
We have not been able to provide a rating for some key questions and therefore no overall rating at this inspection as we have been unable to find sufficient evidence to meet the characteristics of ratings and report on aspects of some key questions.
Why we inspected
This inspection was prompted by a review of the information we held about this service. You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We have identified a breach in relation to the governance and oversight of the service. We have made five recommendations in relation to the assessment and management of risks, the assessment of people’s needs, person centred care planning, staff training and the responsibilities and requirements of a registered manager.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.