Orbis Care Limited

Updated 3 February 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

The inspection team consisted of 3 inspectors.

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 12 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 19 December 2022 and finished on 23 December 2022. We visited the location's office on 20 December 2022.

What we did before the inspection

We reviewed information we had received about the service and sought feedback from the local authority and professionals who work with the service. 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 4 people, 4 relatives and 5 members of staff for feedback on their experiences of care and working for the service. This included the registered manager, nominated individual and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at 3 people’s care records, 2 recruitment files and a variety of documents relating to the management of the service. This included policies, procedures, training, and quality assurance.

Updated 3 February 2023

About the service

Orbis Care Limited is a domiciliary care service providing personal care to people in their own homes. The service provides support to older people, and those with mental health needs, dementia and physical disabilities. At the time of our inspection there were 31 people using the service. 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

Risks to people’s health and safety were not consistently assessed with care plans to manage identified risks. Staff were given medicine training and their competency was assessed through observation and spot checks. Staff were recruited safely and were trained in safe infection prevention and control.

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. However, records relating to people’s mental capacity needed to improve.

There was a variety of quality assurance systems and checks to monitor the quality and safety of care. However, improvements and time was needed to ensure these provided an effective means of identifying gaps and shortfalls in the service.

The provider assessed people’s needs and choices before they began using the service. Staff received an induction and training and we received positive staff feedback about their training. Where required, staff supported people to eat and drink to maintain their health and wellbeing. Staff worked with other social and health care agencies to promote people’s health.

People were well looked after by staff that were kind and caring. People and their relatives were involved in assessments and developing their care plans. Staff understood how to protect people’s privacy and maintain their dignity when providing care.

Care was planned in partnership with people and, where appropriate, their families to ensure this was person centred, based on people’s wishes and choices. People’s communication needs were assessed and any aids they required to support communication such as hearing aids or spectacles was recorded in their care plans. There was a complaints process and people were informed of their right to complain. Plans were in place to provide all staff with end of life awareness training.

People, relatives and staff gave positive feedback about the management of the service. Staff felt well supported and had a positive approach to their roles and the people they supported. There had been limited events and incidents which needed to be notified to us, CQC. However, the provider understood what was required in terms of duty candour. The registered manager gathered feedback from people through regular reviews and spot checks and worked closely with external health professionals to promote positive outcomes for people.

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 20 January 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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