We carried out a review of the data available to us about Reliance Care Services Cambridge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Reliance Care Services Cambridge, you can give feedback on this service.
Reliance Care Services Cambridge provides care to people living in their own homes. At the time of the inspection they were providing a service to 42 people. This included help with tasks related to personal hygiene and eating.
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
Since our last inspection improvements had been made to ensure that new staff were only employed once all their recruitment checks had been returned.
Risk assessments were in place to reduce risks to people’s health and safety where possible. Staff were aware of who they should contact if they suspected anyone had been harmed. All staff completed training in the administration of medicines and their competency was assessed to ensure they had the right skills, knowledge and followed the correct procedures.
Staff knew people well and were aware of how they would like to be supported. Information was available in accessible formats for anyone that needed it. Concerns and complaints were investigated fully, and action taken when needed.
The registered manager was aware of their responsibilities. There was an effective quality assurance system in place which identified areas for improvements and planned any actions that were needed.
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 requires improvement (report published August 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service in May 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the safe recruitment of staff.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Reliance Care Services Cambridge on our website at www.cqc.org.uk.
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.
Reliance Care Services Limited provides care to people living in their own homes. Not everyone who used the service received personal care. At the time of the inspection they were providing a personal care service to 19 people. 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
The provider’s recruitment procedure did not ensure that suitable staff were employed. Not all care plans included sufficient information about people to ensure that each person’s needs would be met by staff. The service was not always well-led because the areas for improvement had not been identified.
Staff knew how to keep people safe from avoidable harm and abuse; gave people their medicines safely and followed good infection prevention and control procedures. The provider ensured that lessons were learnt when things went wrong.
Staff had undertaken training and received support from senior staff to ensure they could do their job well. People enjoyed food that they had chosen. Staff worked with external healthcare professionals to support people to maintain their health.
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.
People received kind and compassionate care and staff respected people’s privacy, dignity and independence. People were involved in decisions about their care.
People were confident their views would be listened to and complaints would be addressed. Staff were trained to provide end-of-life care. They were supported by external healthcare professionals to ensure that the person had a compassionate and dignified death.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 April 2018 and this is the first inspection.
Why we inspected
This was the first inspection of a newly registered service.
We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well-led sections of this full report.
The registered manager provided an action plan after the site visit. The action plan included ensuring that the recruitment practices were safe and care plans were updated so that all staff had the required information.
Enforcement
We have identified a breach of the regulations in relation to staff recruitment, at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. 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.