Background to this inspection
Updated
11 January 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 completed by 1 inspector.
Service and service type
Kindered Hearts Limited is a domiciliary care agency. It provides personal care to people living in their own homes.
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 21 November 2022 and ended on 23 November 2022. We visited the location’s office on 21 November 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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 with 2 people and 3 relatives. We spoke with the registered manager and 2 members of care staff. We reviewed a range of records including 3 people’s care records, 2 staff recruitment folders, audits, policies and training records.
Following the inspection
We continued to seek feedback and documentation from the registered manager.
Updated
11 January 2023
About the service
Kindered Hearts Limited is a domiciliary care agency who provide personal care to people in their own homes. At the time of inspection 14 people were using the service and receiving 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.
The provider had not always used safe recruitment processes to ensure the right people were employed to safely care for people. Recruitment procedures needed to be more robust to ensure safe recruitment practices were in place.
Improvements were needed with auditing to ensure issues were identified and addressed promptly.
People’s experience of using this service and what we found
People and their relatives were very positive in the feedback they gave about the service. One person said, “I give them full marks, a really good service.”
Care planning was person-centred and delivered in a way that was intended to ensure people's safety and welfare. Staff had received appropriate training. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medicines when needed were dispensed by staff who had received training to do so.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
People when needed were supported with hydration and nutrition. The provider responded to complaints received in a timely manner. People were supported to make plans for the end of their life.
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 6 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.
Enforcement
We have identified breaches in relation to recruitment at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve recruitment practices. We will work alongside the provider to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.