Background to this inspection
Updated
20 June 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was prompted in part by information received by the local authority and the Care Quality Commission that care workers employed by the agency were not adequately trained to care for people using the service and the provider did not follow robust recruitment procedures when they employed care workers. During this inspection we looked at two of the questions we ask about all services, is the service safe and is the service well-led?
This focused inspection took place on 05 June 2018. We gave the provider 24 hours’ notice as the service provides care and support to people living in their own homes and we needed to make sure the registered manager was available to assist with the inspection. Inspection site visit activity started and ended on 05 June 2018. It included speaking with the registered manager and reviewing care records, policies and procedures.
One inspector carried out the inspection. Before the inspection site visit we reviewed the information we held about the provider and the location. This included the report we wrote following the last comprehensive inspection in October 2017 and notifications we had received from the provider. Notifications are for certain changes, events and incidents affecting the service or the people who use it that providers are required to notify us about.
During the inspection site visit we reviewed the care records for three people using the service, a selection of policies and procedures and staff recruitment and training records for four care workers. We also spoke with the registered manager and one of the company directors about the information we had received.
Following the inspection site visit we spoke with two people using the service and two care workers. We also received comments from a third person using the service by email.
Updated
20 June 2018
This focused inspection took place on 05 June 2018. We gave the provider 24 hours’ notice as the service provides care and support to people living in their own homes and we needed to make sure the registered manager was available to assist with the inspection.
We carried out an announced comprehensive inspection of this service on 24 October 2017. After that inspection we received concerns in relation to staff training and recruitment. As a result, we undertook a focused inspection to look into those concerns. This report includes our findings in relation to those topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for La Premiere Care Ltd on our website at www.cqc.org.uk.
During this inspection we looked at two of the questions we ask about all services, is the service safe and is the service well-led?
This service is a domiciliary care agency. When we carried out this inspection it provided personal care to 18 people living in their own houses and flats in the community. It provides a service to older adults and younger disabled adults.
The service has a registered manager. 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.
The provider had systems and processes to keep people safe. Care workers told us they had completed training in these areas and the records we saw confirmed this.
People’s care records included assessments of possible risks and management plans to mitigate those risks the assessments identified. People received their medicines safely and as prescribed.
The provider carried out checks to make sure care workers they employed were suitable to work with people using the service.
People who used the service and their relatives told us they thought it was well managed and they were happy with the care and support people received.
The provider had systems in place for monitoring quality in the service and making improvements.
Staff from the service regularly contacted people who used the service either by telephone or by a supervisor visiting them. They recorded how people felt about the service and any action that was needed to address any concerns.