Background to this inspection
Updated
23 June 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
One inspector carried out this inspection. A specialist nurse advisor reviewed specific nursing care records and spoke with nursing staff. An Expert by Experience spoke with people and the relatives of children using the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave the service 48 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 23 May and ended on 27 May 2022. We visited the provider's office on 23 May 2022.
What we did before the inspection
In planning our inspection, we reviewed information we had received about the service. This included any notifications (events which happened in the service that the provider is required to tell us about) and feedback from the local authority and commissioners.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection-
We spoke with the management team, which consisted of the registered manager, the clinical lead and the care co-ordinator. As part of the inspection, the CQC specialist nurse spoke with five registered nursing staff, to evaluate their understanding of people’s complex health conditions, and the training they had received to carry out their roles.
We reviewed a range of records. This included five people's care records and risk assessments. We looked at four staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including training records, staff competencies, accident and incident analysis, the complaints log and quality assurance records.
After the inspection
We continued to seek clarification from the management team to validate evidence found. We received feedback from three professionals and 11 people and their relatives who used the service.
Updated
23 June 2022
About the service
Reach Healthcare Solutions Limited is a domiciliary care service. People are supported in their own homes so that they can live as independently as possible. At the time of our inspection there were 12 adults and children receiving nursing and personal care.
People’s experience of using this service and what we found
We received very positive feedback from the people receiving the service and parents of children receiving care. Professionals working with the service praised the skills of staff and the management of the service.
The service supported people and children with complex health and social care needs. People and their relatives described the staff and management team as very kind and compassionate. The management team took time to match staff with the people they supported. Before people or their children started to use the service, their individual needs and preferences were discussed and recorded for nursing and care staff to follow. The clinical lead ensured that all care and nursing staff had received training to meet people’s needs and were familiar with the differing equipment required to keep them safe.
Care records were person centred, and risk assessments provided detailed advice to both nursing and care staff on how to support people and minimise risk of harm.
People had support to prepare their meals and drinks where they needed this, and where required people, including children were supported with intravenous feeding.
The provider had measures in place to protect people from infections. The management team reviewed any accidents or incidents involving people who used the service, in order to learn from these.
The management team and nursing staff worked effectively with community health and social care professionals to ensure people’s education, health and social care needs were met.
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 management team promoted a person-centred culture within the service. People’s care and support was very kind and caring. People and their relatives were encouraged to provide feedback about the service they received, so any improvements could be identified.
Staff spoke very highly of the support and training they received from the management team. They valued the clinical knowledge and experience of the management team, who were always on-call.
The service had quality assurance systems and processes in place to enable them to monitor and improve people's care. The management team was passionate about care and put people at the centre of the service delivery. They welcomed any form of external and internal auditing and feedback received was treated as an opportunity to reflect and further improve the quality of the service for people.
Recruitment processes were safe. The service carried out checks on the suitability of staff before they started work.
People had the support they needed to manage and take their medicines safely.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 November 2020 and this is the first inspection.
Why we inspected
We inspected this service because it has not had an inspection since registration and does not have a rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.