21 March 2023
During an inspection looking at part of the service
Mrs Nina Glarvey is a domiciliary care agency providing the regulated activity of personal care to people who live in their own homes. At the time of our inspection there were 21 people using 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
Recruitment processes were in place; however, not entirely robust. We have made a recommendation about this.
Procedures to keep staff safe in their work were not always in place. Staff meetings were not taking place on a regular basis and documentation of any meetings was not kept. Training records and training development plans were not up to date. Supervisions were not taking place regularly in line with the company policy.
People's feedback of the service was positive. People were supported with their medication and staff were trained in this. People had person-centred care plans in place which considered their preferences.
Risks to people and staff had been assessed with appropriate measures in place to help protect them. The registered manager had oversight of processes to monitor the safety of people and staff.
People told us staff always maintained their dignity and privacy when providing care.
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.
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 28 September 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We have found evidence that the provider needs to make improvements. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mrs Nina Glarvey on our website at www.cqc.org.uk.
Recommendations
We recommend the provider reviews their recruitment procedures to ensure records demonstrate best practice guidance. At the time of inspection, best practice guidance was not followed, and this was not identified by the provider. We recommend the provider reviews their recruitment procedures and improves their governance system to include audit processes and training and supervision records and takes actions to ensure they demonstrate best practice. The provider has taken action to amend practices since the inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.