Revolution Home Care Ltd

Updated 6 September 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 1 inspector and an 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.

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 24 hours’ notice of the inspection. This was to ensure the provider would be available in the office to support the inspection.

Inspection activity started on 15 August 2023 and ended on 21 August 2023. We visited the location’s office on 15 August 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We 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 8 people and 6 relatives of people who used the service. We sought feedback from professionals that work with the service. We spoke with 10 staff members, including the registered manager, co-coordinators, training and compliance staff and care workers. We reviewed a range of records, including 9 people’s care records and medicine administration records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 6 September 2023

About the service

Revolution Home Care Limited is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, including those with dementia, people with a physical disability or sensory impairment, younger adults and people with a mental health diagnosis. At the time of our inspection there were 71 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

People felt safe using the service. Risks to people were identified and assessed and staff followed clear guidance which was in place to keep people safe. People received their care calls on time, and staff had time to build relationships with people. There were systems in place to monitor calls and provide out of hours support. Medicines were managed safely and administered by competent staff. People were protected from the risk of infection. Lessons were learned when things went wrong because staff understood their responsibilities to report accidents and incidents. Systems were in place to review and oversee accidents and incidents and action was swiftly taken to mitigate risks to people.

Holistic assessments of people’s needs and choices were carried out. Staff received suitable training to carry out their roles safely and received support to develop. The induction process was comprehensive and equipped staff with the necessary skills. People’s needs in relation to nutrition and hydration were met. Technology was well utilised for staff to share information and work collaboratively with other organisations. People were supported to achieve good outcomes in relation to their health and well-being, staff referred to relevant healthcare professionals as appropriate.

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.

Staff were kind and caring. People’s diverse needs were considered, and people were protected from discrimination. People were supported to have choice wherever possible in their care and support.

People received personalised care and staff knew people well. The provider had a clear complaints process, which was shared with people and relatives.

The service was well-led. Governance systems were now wholly effective and embedded. The registered manager and staff demonstrated a commitment to continuous learning and improvement. People, relatives and staff were engaged with the running of the service and listened to.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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

Rating at last inspection

The last rating for this service was good (published 24 August 2017).

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.