Background to this inspection
Updated
28 July 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.
Before the inspection we looked at the information we held about the service and sought feedback from the local authority and local Healthwatch.
The inspection took place on 29 June 2017 and was announced. The provider was given 48 hours’ notice because they provide a domiciliary care service and we needed to be sure they would be in. The inspection was carried out by one inspector.
During the inspection we looked at one set of care records and the recruitment file for one volunteer staff member. We looked at the provider’s training records, various policies and procedures and other records relevant to the management of the service. We spoke with the provider and one relative of a person who received a service.
Updated
28 July 2017
This inspection took place on 29 June 2017 and was announced. The provider was given 48 hours notice as it is a small service providing care to people in their own homes and we needed to be sure someone would be in. This was the service’s first inspection.
Neeta Care Services Limited is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection they were providing personal care to one person. Therefore we were not able to rate the service against the characteristics of inadequate, requires improvement, good and outstanding. We did not have enough information about the experiences of a sufficient number of people using the service to give a rating to each of the five questions and therefore could not provide an overall rating for the service.
As the provider is an individual, they are not required to have a registered manager. 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.
A relative told us they felt people were safe using the service. The provider had systems in place to identify and respond to allegations of abuse and avoidable harm. Risks to people were identified during assessments and there were detailed plans in place to mitigate risk. The service did not yet have any paid care workers, although safe recruitment practice had been followed in the recruitment of a volunteer. The provider was not currently administering medicines, but records showed that where they had in the past this had been managed in a safe way.
The provider had completed qualifications to ensure they were trained for their role. Records showed appropriate consent had been sought in line with legislation and guidance. Records showed dietary needs and preferences were met and the person was supported to have their health needs met, with access to health professionals supported as required.
The person’s relative told us the relationship between the provider and their relative was very strong. The provider spoke about the person they supported with kindness and affection. Assessments and care plans included details of preferences, religious beliefs, cultural background and sexuality.
The person’s relative told us they were involved in the assessment and care planning process. There was sufficient detail and personalisation in the care plan to ensure the person’s needs were met in a personalised way. The provider had systems in place to ensure concerns and complaints were responded to in an appropriate way.
The provider had systems and processes in place to monitor the quality and safety of the service. The provider had a clear, quality focussed plan for growth and sought support from external organisations to ensure they were up to date with best practice in the sector.