Background to this inspection
Updated
24 March 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency (DCA). It provides personal care to people living in their own houses and flats.
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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 9 March 2023 and ended on 15 March 2023. We visited the location’s office on 14 March 2023.
What we did before the inspection
We reviewed information we had received about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke to 7 staff members including the registered manager, recruitment manager, managing director, 3 complex support workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We spoke to 2 relatives to gather their feedback on people’s care.
We reviewed a range of care records and risk assessments. We looked at 3 staff files in relation to staff recruitment. We reviewed a variety of records relating to the management of the service, staff development and the provider's policies and procedures.
We sought feedback from professionals and other agencies that work with the service.
Updated
24 March 2023
About the service
Safehands Recruitment LTD is a Domiciliary Care Agency (DCA) providing personal care to adults and children. They provide a service to people with a learning disability, autism, physical disability and mental health needs. The service provides support to people in their own homes. At the time of our inspection 2 people were using the service.
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
Right Support
People's care outcomes, goals and life aspirations had been fully recorded by the registered manager so that staff could promote them. 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's physical and emotional needs had been comprehensively assessed. Staff had access to individual risk assessments which guided them on how to reduce risks to people, whilst promoting their independence. People who may experience behaviours of distress were supported with clear plans that recognised the triggers and signs of emotional distress, and how they would like to be supported.
Detailed care records were kept for people and other care agencies to refer to, this ensured that care staff were up to date on people’s care needs. People were supported with the safe administration of their medicines.
Right Care
People were provided with person centred care by a staff team who knew their needs well. This means that care was tailored to their individual needs and was personalised. Staff spoke positively about their caring role and were passionate about providing good quality care. The service was led by a registered manager who valued people as individuals and sought to get the right staff in place to meet people’s needs.
People were provided with dignified care which respected their privacy and promoted their independence. When people’s care needs changed, this was pre-empted by staff and their care was adjusted to meet these needs. People were protected from the spread of infection.
Care plans were made with people, their relatives, and professionals to ensure that staff fully understood people’s care needs. People's communication needs had been assessed, this supported staff in interactions with people whilst providing care and support.
Right Culture
People were empowered to live a life of their choice by the staff supporting them. People were supported by a service which valued and promoted people's individuality, independence and human rights. Policies and care planning supported this culture.
The management team adopted an open learning culture where good practice was celebrated, and lessons were learned. Staff felt supported in their caring roles and adopted the caring values of the organisation. There was an open and honest culture between people, relatives, staff and leaders where they all felt confident to raise concerns and complaints.
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 16 December 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.
You can read the report from our comprehensive inspection, by selecting the ‘all reports’ link for Safehands Recruitment LTD on our website at www.cqc.org.uk.