Background to this inspection
Updated
19 October 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.
Service and service type:
Passion Care Staffing Northampton limited provides personal care to people living in their own houses and flats and provides a service to older adults.
The service had a manager registered with the Care Quality Commission. This means 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:
The inspection was announced. We gave the provider 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure someone was available. The inspection started on 23 September 2019 by visiting the office location to review records, policies and procedures. We made telephone calls to people using the service and staff members on 25 September 2019.
What we did:
We looked at information received from the provider, such as statutory notifications about events the provider must notify us about. We also reviewed feedback from other professionals who work with the service. We took all the information into account when we inspected the service and making the judgements in this report.
During our inspection we spoke with one person using the service, five relatives of people using the service, two care staff, the care coordinator and the registered manager. We reviewed the care records for three people using the service, and other records relating to the management oversight of the service. These included staff recruitment files, staff training and supervision records, policies and procedures, surveys and feedback from people who used the service and quality assurance audits.
Updated
19 October 2019
About the service:
Passion Care Staffing Northampton is a domiciliary care agency. It provides personal care to 12 people living in their own homes.
People’s experience of using this service:
Medication administration records (MAR) were not always being used. We found that topical medicines were being applied to a person without appropriate recording systems being used.
Care was not always personalised. People told us that staff were frequently late in arriving to provide care. People said that staff did not always stay for the amount of time they should.
The provider had looked in to an electronic call monitoring system to monitor staff call times, but this had not been fully implemented at the time of inspection.
Audits did not always identify faults, such as MAR not being in place. Management staff were not always aware of staff being late to care calls as no system was in place to effectively monitor this.
People and relatives we spoke with told us they felt safe care was delivered by staff. Staff had a good understanding of safeguarding procedures and how to report abuse.
Risk assessments were in place to manage risks within people’s lives. These assessments were reviewed and kept up to date.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out and staff were trained to support people effectively.
Staff were supervised and felt confident in their roles. When required, people were supported by staff to prepare food and had support with healthcare arrangements.
People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives.
Staff treated people with kindness, dignity and respect and spent time getting to know them. People were supported in the least restrictive way possible.
People and their family were involved in their own care planning as much as was possible. A complaints system was in place and was used effectively.
The registered manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required.The service had a registered manager in place, and staff felt well supported by them.
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 3 June 2017)
Why we inspected:
This was a planned comprehensive inspection
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.