2 December 2021
During an inspection looking at part of the service
Royale Carers Limited provide personal care to people living in their own houses, flats and specialist housing. This is a domiciliary care service and primarily provides a service to older people, older people living with dementia or who may have a physical disability. At the time of inspection there were 43 people using the service.
People’s experience of using this service and what we found
Staff knew the risks people needed support with, however these were not always documented in peoples care plans. People and those acting on their behalf told us they or their family member was safe, and they had no concerns about their safety. Suitable arrangements were in place to protect people from abuse and avoidable harm. Staff understood how to raise concerns and knew what to do to safeguard people. Suitable arrangements were in place to ensure people received their medication as they should, but where errors had occurred these had been investigated. Generally, there were enough numbers of staff available to support people safely. Staff recruitment and selection practices and procedures were robust. People were protected by the service’s prevention and control of infection arrangements.
People told us the service was well managed. Quality assurance arrangements enabled the provider and registered manager to monitor the quality of the service provided and staff performance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was Requires Improvement (published June 2021). At this inspection we found improvements had been made and the provider was no longer in breach of Regulation 19 of the Health and Social Care Act 2008 [Regulated Activities] Regulations 2014.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection and to check whether the Warning Notice we previously served in relation to Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Royale Carers Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.