We carried out a review of the data available to us about Radis Community Care (Shrewsbury) 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 Radis Community Care (Shrewsbury), you can give feedback on this service.
Radis Community care (Shrewsbury) is a domiciliary care service, providing personal care and support to people in their own homes. 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 41 people were receiving a regulated activity.
People's experience of using this service and what we found
People told us that they felt safe and were supported by consistent and reliable staff. Staff understood their responsibilities with regards to keeping people safe. There were systems in place to safeguard people from the risk of possible harm.
The service had procedures in place that ensured new staff were safely recruited.
The registered manager assessed people’s needs and involved them in planning their care in accordance with their wishes and preferences.
Each person had a care plan. This was reflective of their needs and had been reviewed at regular intervals.
Staff were knowledgeable about the people they supported and provided kind personalised care.
Medicines were safely managed, and people received their medicines at the right time.
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.
Staff told us they enjoyed working at the service and they were well supported by the management team. Staff felt valued, motivated and were committed to the people they supported.
There was positive leadership at the service and people and staff spoke highly of the provider. Staff were dedicated to maintaining high standards and there were quality monitoring systems in place to drive service improvement.
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 (published 13 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.
Radis Community Care Limited is registered to provide personal care to people of all ages living in their own homes. They were providing personal care to 95 people at the time of our inspection.
The service had a registered manager in post. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
People were supported by staff who had been trained to understand how to recognise abuse and discrimination. Systems were in place for staff to follow which protected people and kept them safe from avoidable danger and harm. Staff were confident in reporting any concerns they had about a person's safety.
People received care and support from staff that were trained to be effective in their role. Staff had the skills and knowledge to understand and support people's individual needs. The training they received was kept up to date.
People's rights were protected and they had choices in their daily lives. People were supported to maintain their diet and health needs where required. Staff were caring and people's privacy, dignity independence and individuality was respected and promoted by staff.
People received care from staff that were suitably recruited, supported and in sufficient numbers to ensure people's needs were met. This was because the provider had undertaken the relevant checks to ensure the staff they employed were suitable to work with people
Staff asked people's permission before they helped them with any care or support and understood the importance of obtaining consent. People's right to make their own decisions about their own care and treatment was supported by staff.People that needed assistance to eat and drink received support to ensure they had enough. Staff helped people to access healthcare services when this was required.
People were supported by staff who knew them well and had good relationships with them. People were involved in their own care and felt listened to when they made their wishes known. Staff protected and respected people's dignity and privacy when they supported them. People received care and support that was individual to their needs and preferences
People and their relatives knew how to complain about the service and felt comfortable about doing so
The provider carried out annual satisfaction surveys with people using the service. The registered manager had systems for monitoring the quality of the service and had taken action when improvements were needed.
This inspection took place on 18 and 20 March 2015 and was announced. We told the registered manager two days before our visit that we would be visiting to ensure they were available.
Radis Community Care (Shrewsbury) is registered to provide personal care to people living in their own homes. The service is registered as a domiciliary care agency and supported living service. At the time of our inspection 75 people were receiving personal care from the service. The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection on 28 February 2014 we found the provider was not meeting the legal requirements for assessing and monitoring the quality of service that people received. At this inspection we found that improvements had been made and the provider had met the requirements. The provider still needed to make some improvements in monitoring the outcomes of checks completed by staff.
People felt safe when staff supported them in their own homes. Staff were trained and understood their responsibilities in preventing and reporting any suspected abuse.
Staff understood how to support people safely and how to protect them from unnecessary harm. Risk assessments were in place and staff knew how to minimise risk when supporting people with their care. The registered manager dealt with and understood their responsibility in dealing with any accidents or incidents that may occur.
People were supported by staff who had the skills to meet their needs. Staff had received training relevant to their roles and felt supported by the registered manager. Checks had been completed on new staff to make sure they were suitable to work in people’s homes.
People told us they made their own decisions about their care and were involved in how their care was planned and delivered. People had good relationships with staff and felt respected and listened to by the staff.
People were supported to access healthcare when they needed it. They were assessed and offered support when they needed help with preparing meals or help with eating and drinking enough.
Staff supported people in line with their care plans and people told us their permission was sought before staff helped them with anything.
People and relatives knew who they could raise their concerns with and felt confident they would be listened to. Complaints were investigated and responded to in line with the provider’s complaints policy.
Systems were in place to assess the quality of the service provided. People who used the service were asked to comment on the quality of service they received. Improvements had been made to the service based on people’s feedback and our last inspection.
Everyone spoken with about the care they received offered positive comments. People felt comfortable with the staff and the care and support delivered. No one complained about there being regular changes with the staff that provided support. One person said, 'It is a very good service, I am quite satisfied.'
People had care records and understood the care and support choices available to them. The information about how people needed to be supported was not always included in the care records, to ensure they received safe and consistent care.
The staff received training that was appropriate for their individual needs and provided them with the information they needed to care for people living in their own home.
We saw that the provider had implemented monitoring systems, but not all systems were effective in maintaining the quality of the service delivered.
Care plans contained clear guidance for staff on people's needs and how these should be met. This was done in a way that reflected people's individuality and preferences. People told us that staff "Listen to what I want and how I want it done". A relative told us that the agency was "Absolutely brilliant". They told us that service received was "Excellent".
Systems were in place to make sure that checks were made when new staff started working at the agency to make sure that they were suitable. Staff felt very well supported by the management team.
The service supplied people with information about how to raise any concerns and complaints.
Appropriate equipment was provided and serviced by healthcare professionals. Staff were trained so that they could use it safely.
People received information before they agreed to the service, had their needs assessed and were monitored closely by the staff involved with their care.
However, some people felt that communication via the agency office was inconsistent and wanted this to improve. They wanted to always be told when changes to their allocated care worker happened and always wanted to know who would be visiting each week beforehand. People also stated that they would like to be involved in talking about the quality of service they receive, so that they could influence any changes for the better.