About the service PRM Care Ltd is a domiciliary care service providing personal care to people living in their own homes. The service provides support to older people and those living with dementia or a physical disability. 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. At the time of our inspection there were 8 people using the service.
People’s experience of using this service and what we found
People were at risk of receiving care and support from unsuitable staff as the registered manager did not have an embedded and robust recruitment process in place. We made a recommendation about this. Medication was managed effectively, and the provider had assessed risks in relation to people and the environment. Staff had received safeguarding training and understood the concept of safeguarding the people they supported.
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 were supported by staff who had received appropriate training. Where people had specific needs, staff received training in relation to this. People’s needs were assessed, and their nutrition and hydration needs were met. Staff received regular supervision and support with their development from the registered manager.
People were supported by staff that knew them well. Relatives spoke highly of the staff approach which was described as “Very good” and, “Respectful.” Staff spoke positively of how they ensured they promoted dignity, privacy and independence and gave us examples of how they did this. People and their relatives had a good relationship with the registered manager and were involved in making decisions about the delivery of their care.
People received care that was personalised to their individual needs and preferences. No complaints had been raised by people or their relatives, but there was a system in place for managing this process. People’s communication needs were met, and care plans were detailed and person centred.
Audits had not always been completed in relation to staff recruitment, and the recruitment policy was not always being followed. We made a recommendation about this. The registered manager completed quality checks relating to medicines management and care plans. People and their relatives spoke highly of the registered manager’s approach, which was described as “Responsive” and “Patient."
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 28 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We recommend the provider reviews their recruitment practice and the audit for managing this process.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.