Paxigate Healthcare Limited

Updated 25 November 2022

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 announced inspection was undertaken 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.

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

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.

Inspection activity started on 2 September and ended on the 15 September 2022. We visited the location's office on the 6 September 2022.

What we did before the inspection

We reviewed information we had received about the service since their registration. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three relatives, three staff, including the registered manager, nominated individual, and care staff. We received feedback from a professional.

We reviewed a range of records. This included two people’s care 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, including comments from people who have received a service, policies and procedures were also reviewed.

Updated 25 November 2022

About the service

Paxigate Healthcare Limited is a domiciliary care agency providing regulated activity of personal care to people living in their own homes. 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.

At the time of our inspection there were five people using the service.

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

Relatives all told us their family felt safe and well supported. Risks were identified, assessed and regularly reviewed. Staff felt well supported and received training appropriate for their roles. People were given their medicines safely and staff followed infection prevention and control procedures.

People were asked for their consent to ensure staff could provide care and support in the way that each person wanted. The principles of the Mental Capacity Act were followed. Policies and procedures supported people to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

Staff treated people with respect and upheld their privacy and dignity. Relatives described staff as kind and caring and were satisfied their family members were in safe hands. Staff knew people well and encouraged people to be as independent as possible. A relative told us, “[Family member] looks forward to the staff coming and helping them with their care, we feel they are cared for so well.”

Care plans included all information needed to support people safely and in accordance with their wishes and preferences. These were reviewed regularly.

Quality assurance systems had not always identified shortfalls found during our inspection. For example, in relation to the recruitment practice.

Audits were carried out to ensure the service was of high quality and the provider engaged people, their relatives and staff in giving their views about how the service could improve.

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 4 May 2021 and this is the first inspection.

Why we inspected

This was a planned inspection as a newly registered service.

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.