React Homecare – Nottinghamshire and Derbyshire South

Updated 13 January 2021

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 Care Act 2014.

Inspection team

The inspection team consisted of one inspector and one Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was announced.

We gave the service 24 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 15 December 2020 and ended on 19 December 2020. We visited the office location on 17 December 2020.

What we did before the inspection

We reviewed information we had received about the service. This included the statutory notifications sent to us by the provider about incidents and events that had occurred at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and three relatives about their experience of the care provided. We spoke with eight members of staff including the provider, the registered manager, team leader and care workers.

We reviewed a range of records. This included four people’s care records. We looked at four staff files in relation to recruitment and staff supervision. We also looked at a variety of records relating to the management of the service, including policies and procedures, and staff training records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, the provider’s policies and procedures, and quality assurance records.

Updated 13 January 2021

About the service

React Homecare Ltd is a domiciliary care service which provides support with personal care, domestic tasks and companionship 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 the inspection 31 people were using the service.

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

Risks to people were not always fully assessed . People and their relatives told us they felt safe receiving care from the service. Staff had received training to keep people safe from avoidable abuse and followed clear guidance to report concerns. People were supported by staff who had been safely recruited.

People’s care plans were detailed and contained information with regards to people’s likes, dislikes and preferences for support. Staff had received appropriate training and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.

People received caring and compassionate support from the staff. Staff referred to people in a respectful way. People were complimentary about staff and the positive relationships they had with them.

People and their relatives were involved in developing their care plans.

The service was well-led by a dedicated registered manager. After period of instability with the senior management, Staff told us improvements had been made, they enjoyed working for the service and felt respected and valued.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This is the registered provider's first inspection.

Why we inspected

This service was registered with us on 4 September 2018 and this is the first inspection.

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.