Leicester

Updated 30 October 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 checked 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 site visit took place on 12 September 2018. We gave the service two working days’ notice of the inspection as the service provides a domiciliary care service and we needed to be sure that someone would be available at the office.

The inspection site visit was carried out by one inspector.

We used information the provider sent us in the Provider Information Return. This is information we require the provider to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We looked at the providers’ Statement of Purpose. This is a document providing information as to the aims and objectives of the service, the support and services it provides and to who.

We looked at the information held about the provider and the service including statutory notifications and enquiries relating to the service. Statutory notifications include information about important events which the provider is required to send us. We used this information to help us plan this inspection.

We spoke with a family member about their relative’s care by telephone on 14 September 2018.

We spoke with the managing director and manager of the service when we visited the office. We sought the views of two members of staff by telephone on 17 September 2018.

We looked at the care plans and records of the person using the service. We looked two staff records, which included their recruitment, on-going monitoring and training. We looked at records as to how the quality of the service being provided was monitored.

Updated 30 October 2018

Leicester, is a domiciliary care agency providing personal care to people living in their own homes. older people and younger adults in their own homes across. The agencies office is in the City of Leicester. At the time of the inspection, the service was providing support for one person and employed two members of staff who provided personal care and support.

Leicester had a registered manager, however the person had resigned their position as manager. The registered manager has not submitted an application to cancel their registration with the Care Quality Commission (CQC). The CQC will take the appropriate measures to address this. The current manager of the service has applied to become the 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 registered person is the manager for the service.

This is the first inspection of the service, Leicester since its registration with CQC on 26 January 2018.

The service whilst being inspected has not been rated because at the time of the inspection there was only one person receiving personal care and they had done so for a very short period of time. We therefore had insufficient information to determine the level of care and support received.

We could not be confident that the service currently received would be sustainable should the service expand to provide care for additional people.

A family member spoke positively of the service provided to their relative. They said staff were confident in what they did and were caring and attentive towards their relative.

There was no effective governance of the service; systems to monitor and promote the quality and safety of the service provided were not in place or fully understood. The manager was not aware of any policies and procedures in place. Records were not readily accessible, which meant it was difficult to find out the information to evidence how the service operated.

People could not be confident that the provider had followed safe staff recruitment and induction. We found a lack of information to evidence that all staff had undertaken training in the safe management of people’s medicine, which has the potential to put people at risk.

A family member spoke positively of the service provided to their relative. They said staff were confident in what they did and were caring and attentive towards their relative.

People’s needs were assessed prior to their using the service, the information gathered was used to develop care plans, which contained information as to how the person’s needs were to be met, consistent with their wishes.

Staff spoke positively of the training they had received. Staff told us they had worked alongside the manager for several days in the delivery of the persons care to ensure they received the appropriate care and support.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to the governance of the service.

You can see what action we told the provider to take at the back of the full version of the report.