Right Trust Care Ltd

Updated 29 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 was carried out by an inspector and an assistant inspector. One inspector visited the service on 14 October 2020. Prior to this both inspectors carried out calls to people, staff and relatives on 24 September 2020.

Service and service type

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

The service had a manager registered with the Care Quality Commission. The registered manager was also the nominated individual and had overall responsibility for supervising the management of the service. Right Care Trust LTD is a small family run business. A deputy manager comprised part of the management team, together with the registered manager. (We have referred to the registered manager and deputy manager as 'management team' in the report).

Notice of inspection

We gave 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We did not ask for a 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 three people who used the service and with two relatives of people who use the service about their experience of the care provided. We spoke with five care workers, the deputy manager and registered manager who is also the nominated individual.

We reviewed a range of records. This included three people’s care records and medication records. We looked at six staff files in relation to recruitment. We also looked at records that related to the management and quality assurance of the service.

After the inspection

The provider supplied us with survey user and health care professional feedback.

Updated 29 January 2021

About the service

Right Care Trust Limited is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were six people using the service.

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

The provider had some quality monitoring systems in place, however they did not always identify issues and therefore were not effective. The provider had failed to implement a robust recruitment practice. Safeguarding arrangements were not robust and had put people at risk of harm. The provider had taken action to make improvements however, this was in response to CQC contacting the provider about these concerns.

Care records contained information about people's preferences and preferred routines. Risk assessment did not contain all the required information needed to guide and inform staff.

People received support to take their medicines and the provider was in the process of improving documentation in relation to medicine management.

There was enough staff to meet people’s needs. People told us they were very happy with their care and staff understood their needs. People told us they were involved with planning their care and they spoke highly of the management team.

Appropriate Personal Protective Equipment (PPE) was made available and worn by staff and they had received information and training so they understood the importance of this.

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

Rating at last inspection and update

The last rating for this service was Good (Published 30 May 2019).

Why we inspected

The inspection was prompted due to concerns about poor staff recruitment, people not receiving the care they required and poor management of the service.

A decision was made for us to inspect and examine those risks. We reviewed the information we held about the service. We only looked at safe, caring and well led during this inspection. We did not look at the key questions of effective and responsive. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found evidence the provider needs to make improvements.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safeguarding and oversight and governance.

Please see the action we told the provider to take at the end of this report.

Follow up

We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.