Background to this inspection
Updated
3 April 2020
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, which provided 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. It is a small service, and we needed to be sure the provider, or the registered manager, would be in the office to support the inspection.
Inspection activity started when the inspector phoned a sample of people who used the service, and care staff, on 6 March 2020. The inspector then visited the provider’s office on 9 March 2020.
What we did before inspection
We reviewed information received about the service since the last inspection. We used the information the provider sent us in the 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 one person who used the service, and four close relatives of people, about their experience of the care provided. We spoke with four members of staff including the registered manager, care co-ordinators and a care worker. We received written feedback, by text message, from seven other care workers.
We reviewed a variety of records relating to the management of the service. We reviewed 3 people's care records and looked at 3 staff files in relation to recruitment and staff training.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and reviewed relevant samples of the provider’s policies and procedures. We received feedback on the service from a local authority care commissioner.
Updated
3 April 2020
About the service
Radis Community Care (Nottingham) is a domiciliary service providing personal care to vulnerable people in their own homes. The service is run from an office located in the outskirts of Nottingham. At the time of our inspection 23 people were receiving personal care support. 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 received a service which was safe. Care staff were safely recruited and received the necessary training to safeguard people from potential abuse. Staff received infection control training and were provided with the necessary personal protective equipment to keep themselves, and people, safe from health infections when providing personal care in people’s homes. People were supported to receive their prescribed medicines safely.
People received an effective service. Comprehensive care plans were in place to guide staff on how to support people. Although some staff found it occasionally a rush to travel between some care visits, people told us care staff usually arrived on time. People were supported by staff who had received the necessary training. Staff told us they felt supported by their manager. People were supported to make decisions about their care and, where a person lacked the capacity to do so, appropriate best interest decision processes were in place.
People were treated with kindness and respect by the care staff. People’s feedback about the service was consistently positive, and some people told us how care staff went the extra mile for them.
People received care which was well planned. Care plans were comprehensive and regularly reviewed. Support was provided responsively to people depending on their individual needs. People were provided with written information in formats they could understand. There had been no formal complaints about the service since the previous inspection.
People achieved good outcomes from the care they received, and the registered manager, and care staff, were committed to providing person centred care. People were regularly asked, by the provider, for feedback on the service they received.
The registered manager ensured the necessary external agencies were notified about any incidents which occurred and had a good understanding of regulatory requirements. The service was delivered in partnership with community and specialist health care agencies to ensure people received the support they needed.
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.
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 14 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.