Background to this inspection
Updated
20 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 one inspector.
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
We gave the service 48 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.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
People who used the service were unable to speak with us. However, we spoke with four relatives about their experience of the care provided. We received feedback from four members of staff and spoke with the registered manager.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
20 January 2021
About the service
Quest Recovery Services Ltd is a domiciliary care agency. It provides personal care to older people and people with a learning disability living in their own homes. At the time of our inspection the service was providing care to five people.
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
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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People were protected from the risks of infection as staff had received training in infection control and the use of personal protective equipment (PPE), in line with government guidelines. The provider took steps to promote people’s safety and reduce known risks.
The provider had taken steps to promote staff safety. Staff were suitable for the role they were employed in and there were sufficient staff to care for people safely. Staff felt well-supported by the management team. Staff were trained to administer medicines safely where people required this.
Safeguarding processes were followed when needed to promote people’s safety, and staff were knowledgeable about these. Any accidents and incidents were reviewed to help identify lessons learnt and these were shared with staff.
We received positive feedback from people’s relatives about the service, and people’s feedback indicated they felt safe and well cared for. They trusted the care workers and the management team.
People's care and risk management plans set out the care tasks they required help with and these contained personalised information about people and their preferences for how they liked to be supported.
The registered manager led with an open and inclusive management style and this helped set a positive and person-centred culture where people were supported to achieve positive outcomes. Arrangements were in place to check and monitor the quality and safety of the service. Views of people, staff, relatives and other professionals were gathered to help improve the service. The service worked well with a range of other health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 11/1/2018 and this is the first inspection.
Why we inspected
We undertook this focused inspection because the provider had not been inspected since they had registered with CQC.
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.