Purity Care

Updated 19 June 2019

The inspection:

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.

Inspection team:

The inspection team consisted of two inspectors and an Expert by Experience. 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:

Purity Care are a domiciliary care agency (DCA). The service provides personal care to people living in their own houses and flats in the community. There was 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’. 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.

Notice of inspection:

This inspection was announced and took place on 16 April 2019. We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the management would be in the office.

What we did:

Before the inspection we reviewed the information, we held about the service and the service provider. The registered provider completed the Provider Information Return (PIR) however it was submitted after the deadline. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the site office visit we looked at records, which included three people’s care and medicines records. We checked recruitment, training and supervision records for four staff. We looked at a range of records about how the service was managed. We also spoke with the registered manager, the branch manager, the care co-ordinator, one team leader and one senior care staff.

After the site inspection visit we contacted five people and six relatives to gather their feedback. We also contacted six external health and social care professionals, including commissioners to obtain their views about the service.

Updated 19 June 2019

About the service:

This service is a domiciliary care agency. It provides personal care to people living in their own homes in Swindon and surrounding areas. It is registered to provide personal care to children, younger adults living with a learning disability and older people, including those living with dementia. On the day of the inspection 55 adults were receiving personal care.

People’s experience of using this service:

The service was very responsive, and the team promoted a culture that empowered people. The quality of support people received had a very positive impact on their well-being. Staff had an excellent understanding of people’s social and cultural needs and ensured the support provided considered and celebrated these needs. People, relatives and professionals were very complimentary about the care provided by the team. They said they had ‘nothing but good things to say’ and that everything was ‘Perfectly alright. Everything smooth’.

The staff continued to provide safe care to people. The registered manager followed safe recruitment processes that ensured staff were suitable to work with adults at risk. Risks to people's personal safety and environment had been assessed, recorded and reviewed when circumstances changed. There were sufficient staff to keep people safe. The provider ensured people received their medicines as prescribed.

People continued to receive effective support from staff that received ongoing training relevant to their roles. People were supported to have choice and control of their lives and staff respected their rights to make their own decisions. People were supported to access healthcare services and to meet their nutritional needs.

The service remained caring and the caring approach was ensured by the management who led their team by example. Staff treated people with dignity and respect and people were supported to remain independent. There were processes in place to maintain confidentiality and people’s personal information was kept secure.

There was a registered manager who was supported by the branch manager and a team of staff. The provider had a number of quality assurance processes in place that ensured where an area for improvement had been identified appropriate, corrective action took place. The provider ensured people and staff were involved and listened to.

Rating at last inspection:

Good (report published 01 November 2016).

Why we inspected:

This was our scheduled, planned inspection based on previous rating

Follow up:

We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.