Pride Community Care Ltd

Updated 23 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

This inspection took place on 28 and 29 November 2018. We contacted the service two days before the visit to let them know we were inspecting. We did this because they provide a domiciliary care service and we needed to be sure that someone would be available for the inspection. The inspection was carried out by one adult social care inspector.

Before the inspection, we reviewed the information we held about the service, including notifications and previous inspection reports. A notification is information about important events which the service is required to send us by law. We contacted the local authority contract monitoring team and the local authority safeguarding team. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to decide which areas to focus on during the inspection

We used a number of different methods to help us understand the experiences of people who used the service. During the inspection, we met and talked with five people who used the service. We talked with five support workers, the registered manager, a senior support worker, a training provider, a social worker and a pharmacy representative. We had previously sent questionnaires to people who used the service, relatives, staff and community professionals. We received seven completed questionnaires from people who used the service, seven from staff and four from community professionals. We evaluated the responses and took them into account when considering the evidence for the report.

We looked at a sample of records, including three care plans and other related care documentation, two staff recruitment records, complaints records, meeting records, policies and procedures, quality assurance records and audits.

Updated 23 January 2019

We carried out an announced inspection of Pride Community Care Ltd on 28 and 29 November 2018.

Pride Community Care Ltd is registered to provide personal care for people living in their own homes. The agency provides support for adults with mental health conditions, learning disabilities and substance misuse problems, to assist them to live independently in their own homes in the community. The service is available seven days a week. At the time of the inspection there were 53 people using the service.

This was the provider’s first inspection following a change of location.

At the last inspection, the service was rated overall Good. However, there were some matters which needed improvement, we therefore made recommendations relating to people’s capacity to make their own decisions and supporting people with their medicines. At this inspection, we found improvements had been made and the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We found there were good management and leadership arrangements in place to support the effective day to day running of the service.

Arrangements were in place to ensure staff were properly checked before working at the service.

There were sufficient numbers of staff at the service, to provide support in response to people’s agreed plan of care.

Safe processes were in place to support people with their medicines.

Risks to people’s well-being were being assessed and managed. Systems were in place to support people in maintaining a safe and clean home environment.

The service was proactive in identifying and safeguarding adults at risk. Managers and staff were aware of the signs and indicators of abuse and neglect, they knew what to do if they had any concerns. Staff had received training on safeguarding and protection matters.

Staff received ongoing learning, development and supervision.

Arrangements were in place to gather information on people’s backgrounds, their needs, abilities, preferences and routines before they used the service.

People made positive comments about the staff team and the support they received. We observed positive and respectful interactions between people using the service and staff.

Each person had detailed care records, describing their individual needs, preferences and goals. This provided clear guidance for staff on how to provide support.

The service was proactive in promoting independence and enabling people to take ownership of their support needs. People’s needs and choices were kept under review and changes were responded to.

Staff expressed a practical awareness of promoting people’s privacy, dignity, individuality and choices. Where appropriate, people were supported to engage in meaningful activities the community.

Processes were in place to support people with any concerns or complaints.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and processes at the service supported this practice.

People were supported with their healthcare needs and medical appointments. Changes in people’s health and well-being were monitored and responded to.

Arrangements were in place as appropriate, to support people with a healthy, balanced diet.

There were systems in place to consult with people who used the service and staff, to assess and monitor the quality of their experiences and make improvements.

Further information is in the detailed findings below.