Background to this inspection
Updated
16 November 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At our last inspection comprehensive inspection on 24 June 2016, we found that the provider required improvements in all the five questions asked. We issued two warning notices in relation to Regulation 12; Safe Care and Treatment and Regulation 19; Fit and Proper Persons Employed. We also issued a requirements notice for Regulation 18; Staffing asking the provider to take action to meet requirements.
We completed a focused inspection on 27 October 2016 to assess compliance with the warning notices that had been issued. We found improvements had been made to demonstrate people received safe care and treatment, and improvements had been made in relation to the monitoring of the service. We saw that staff had appropriate checks in place in relation to recruitment and training for staff had commenced.
This inspection took place on 01 and 06 of September 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the office when we visited. The inspection was undertaken by one inspector. We found at this inspection further improvements were required.
At the time of this inspection, six people were using the service and three staff were employed. During our visit we spoke with three people who used the service; two relatives; two staff; the registered manager and assistant manager.
We looked at three people’s care records, complaints and compliments records. We also looked at the recruitment records of three care staff, minutes of staff meetings, completed satisfaction questionnaires received by the provider and quality assurance records. Before our inspection we reviewed all the information we hold about the service. We had not received any notifications about the service. Notifications are required from the provider about their service in relation to accidents/incidents and safeguarding alerts which they are required to send us by law. We contacted the local authority and reviewed the information they provided to us.
Updated
16 November 2017
We last carried out a full inspection at this service on 24 June 2016 when we found that the provider was not meeting regulations regarding the recruitment of staff and governance. We carried out a follow up inspection on 27 October 2016 to look at whether the required actions had been taken to address these issues. At that inspection we found that the appropriate actions had been taken to ensure that the requirements of the law were being met. At this inspection which took place on 01 and 06 September 2017 we found that the registered provider had failed to ensure staff were suitably trained to ensure care was provided safely at all times.
Purestar is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of our inspection there were six people using the service. Support is provided to people who may have physical disabilities, learning disability or mental health needs. The service supports people who require support with personal care needs at various times of the day.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Not all people were able to take their own medicine and were supported by staff who had not completed training.
Although staff had been shown how to use the hoist they had not been provided with training from a source that was up to date with current good practices and who could show they were trained to provide training. This showed that the provider had failed to ensure staff had the relevant skills and competence to provide safe support at all time as training had not been completed by staff.
Risks assessments were personalised to people’s needs so risks associated with people’s care were reduced and people had been involved in the planning of their care and received support in line with their care plan.
People were supported to make choices and were involved in the care and support they received. The provider took actions to ensure people’s legal rights were protected.
Staff supported people in a way that met their individual needs and preferences. Where appropriate people were supported to access health and social care professionals.
Staff was caring and treated people with dignity and respect. People’s choices and independence was respected and promoted and staff responded to people’s support needs.
People, relatives and staff felt they could speak with the provider about their worries or concerns and felt they would be listened to and were confident changes would be actioned if needed.
The provider quality assurance and audit systems in place to monitor the care and support people received to ensure the service remained consistent, were ineffective.