Connect and Care is a small domiciliary care agency based in Salisbury. The service was registered with The Care Quality Commission on 20 September 2019 and this was their first inspection.We found the following examples of good practice.
Staff had completed regular testing. Staff were aware that they should isolate if they were symptomatic or if a family member was symptomatic or had tested positive. All six members of staff had contracted COVID-19. They followed the correct procedure of isolation and all reported they were well following the inspection.
All staff had received training in infection, prevention and control practices. As part of their training, staff viewed a video by Public Health England showing how to don (put on) and doff (take off) personal protective equipment (PPE) correctly and safely. Staff received up-dates and refreshers during team meetings which were held virtually and not face to face.
The provider had carried out spot checks in people’s homes to check staff were wearing the correct PPE and the correct procedures were being carried out. Random spot checks would be increased following the inspection, due to our concerns about staff compliance. The provider had a good supply of PPE.
The provider had an up to date policy and procedure for PPE, COVID-19 and infection control.
The provider confirmed that a person was COVID-19 negative before they returned home from hospital and before a new package of care was started. Risk assessments for some people and staff required a review and these were completed following the inspection.
Staff were encouraged to promote safe social distancing measures and the use of PPE within people’s homes for family and other visitors. A supply of PPE was left in people’s homes for visitors.
Environmental risk assessments for people’s homes include extra cleaning of high touch areas and the safe disposal of PPE and personal waste.
Rating at the last inspection
This was the services first inspection.
Why we inspected
We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about infection, prevention and control practices. A decision was made for us to inspect and examine those risks.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe section of this full report.
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.