RS Holistic Care Limited

Updated 19 November 2022

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 carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 24 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 8 November 2022 with visits to people who use the service and ended on 10 November 2022. We visited the location’s office on the 8 and 10 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 service improvement and safeguarding teams. 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 two people who used the service and two relatives about their experience of the care provided. We spoke with and received feedback from the registered manager and care workers.

We reviewed a range of records. This included three people's care records and two medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 19 November 2022

About the service

RS Holistic Care Limited is a domiciliary care service providing the regulated activity of personal care to people who live in their own homes. At the time of our inspection there were three people receiving care and support from the service.

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

People, their relatives and staff told us RS Holistic Care Limited was a safe and well led service. Systems set up to monitor the service had recently been improved and updated. A small service looking to expand slowly. People had risk assessments in place for all their care and support. Medicines were managed safely, and staff had received training to safely support people with their medicines.

Safeguarding procedures were known and followed. There was confidence in the registered manager to deal with concerns appropriately. People were protected of the risk from avoidable infections. The service kept up to date with the latest guidance in the defence against COVID-19.

Accidents and incidents were recorded, and an action plan maintained to ensure actions were followed and lessons learned.

The registered manager undertook various checks of documentation and was working on improving systems in preparation for the service expanding. People, their relatives and staff felt involved and their views and input were used to drive improvements within the service.

Positive feedback was received about the management of RS Holistic Care Limited and staff felt proud to work for the service. The registered manager was clear about their regulatory responsibilities and kept themselves up to date with changes to practice and legislation.

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. The service worked well with external professionals as required.

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 24 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained as good based on the findings of this inspection.