Background to this inspection
Updated
13 May 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 2 days’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection. Inspection activity started on 10 March and ended 13 March 2023. We visited the office location on 13 March 2023.
What we did before the inspection
We reviewed information we had received about the service since registration and we sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with 3 people who used the service. 1 representative of a person and 3 relatives, about their experience of the care provided. We also spoke with the registered manager. We reviewed a range of records. This included 3 care plans.
We looked at a variety of records relating to the management of the service. Policies and procedures were also reviewed.
Updated
13 May 2023
Emiran HealthCare is a domiciliary care agency, providing personal care to people in their own homes. At the time of inspection, 13 people were receiving personal care.
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.
Quality assurance systems were not always effectively carried out to ensure people were provided with a quality service. Information of how to reduce risks to people's safety were included in people's care plans but were not always detailed. Surveys had not been not systematically provided to people, staff or relatives, on a regular basis, which could have identified issues that needed action.
Staff did not always attend calls at agreed times. Safe recruitment practices were in place to ensure only suitable staff worked at the service, though evidence of the take up of some relevant references from health and social care providers was lacking. Enough staff were employed to meet people's needs.
Everyone said they were satisfied with the care staff provided and with the management of the service. Staff were praised for their caring, respectful and friendly attitudes. People and relatives said safe care was provided or, if they had any concerns, the registered manager would swiftly act on the issue and put measures in place to ensure safe care. People were protected against the risk of infection.
People were protected against abuse, neglect and discrimination.
The registered manager understood their responsibilities and worked in an open and transparent way. People and relatives said the registered manager always listened to their views.
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 (Report published in February 2021).
Why we inspected
The inspection was prompted by a concern we received that safe care had not been supplied to a person. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Emiran HealthCare on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.