Background to this inspection
Updated
30 November 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience (ExE). An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the time of the inspection there were 108 people receiving a regulated service.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to get people’s contact details and plan calls to them, with their consent.
Inspection activity took place on 23 October when we visited the office location to see the registered manager, office staff and carers visiting the office. We also reviewed care records, policies and procedures and quality assurance records. Inspection activity concluded on 25 October when the ExE made telephone calls to people and relatives to gain feedback about the service.
What we did
We used the information we held about the service to plan our inspection. This included notifications about events that had happened at the service, which the provider was required to send us by law. For example, serious injuries and safeguarding incidents that had occurred at the service.
We spoke with eight people who used the service and three relatives to gain their experiences of the service provided. We spoke with two carers, a senior carer, a care coordinator, the registered manager and the regional manager.
We viewed six people’s care records to confirm what people and staff had told us. We also looked at documents that showed how the service was managed which included induction and training records for staff employed at the service and records that showed how the service was monitored by the registered manager.
Updated
30 November 2019
About the service
Radis Community Care (Burton on Trent) is a domiciliary care service which is registered to provide personal care to people living 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.
People's experience of using this service and what we found
Relatives told us they felt people were safe and staff knew how to report concerns relating to people's well-being and safety. Risks were assessed and managed to reduce the risk of avoidable harm.
People received their support from a consistent staff team. Systems were in place for the management of medicines and people received their medicines as prescribed. People were protected from the risk of cross infection.
People's needs were assessed and regularly reviewed to ensure their care needs were met. Staff received training relevant to their role and felt supported by the registered manager. Staff sought people's consent before providing care and decisions about people's care and treatment were made in line with law and guidance. People were supported to have 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 received sufficient amounts to eat and drink to maintain their health. People were supported to access healthcare services when required.
People were supported by a caring and compassionate staff team. People were supported to maintain their
independence and their dignity was respected; they were involved in making decisions about their care.
People and their relatives were involved in the planning and review of their care. Staff used care plans to ensure they provided support in line with people’s wishes. This ensured people received personalised care in line with their preferences and diverse needs. Whilst no one was receiving end of life care, people’s needs had been taken into consideration. People and relatives knew how to complain and felt confident their concerns would be responded to.
People, relatives and staff felt the service was well managed. The registered manager had made
improvements since the last inspection and was aware of their responsibilities. Systems were in place to monitor the service, which ensured people’s known risks were mitigated and lessons were learnt when things went wrong.
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 26 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 reinspection programme. If we receive any concerning information we may inspect sooner.