Prime Care Domiciliary Ltd

Updated 26 May 2023

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

The inspection was carried out by 1 inspector.

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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because they provide a domiciliary care service. We wanted to ensure that the service was expecting our call and that staff were available to speak with us.

Inspection activity started on 30 March 2023 and ended on 31 March 2023. We visited the location’s office on 31 March 2023.

What we did before the inspection

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 reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people and 1 relative about their experience of the care provided. We spoke with 4 staff including the registered manager, a supporting manager from the providers other services and 2 care staff. We sought the views of one professional. We reviewed a range of records. This included 4 people’s care plans and associated risk assessments and medicines records. We reviewed 5 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including spot checks and audits, were reviewed.

Updated 26 May 2023

About the service

Prime Care Domiciliary Limited is a domiciliary care service providing personal care and support for people in their own homes. The service provides support to older people and younger adults with a range of needs including physical disabilities and sensory. At the time of the inspection, there were 4 people using the service.

People’s experience of using this service and what we found

People were receiving an improved service following the last inspection. People were safe due to improved recruitment practices which ensured that appropriate and suitably skilled staff supported them. Risks to people had been assessed and mitigated through guidance for staff. We have made a recommendation about the completion of more specific environmental assessments. People were supported by enough staff to keep them safe and provide effective care. People who required help with their medicines were supported safely. People were protected from harm by staff who understood safeguarding principles.

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. People were supported by staff who now received a formal induction with training that was appropriate for their role. People were supported with their eating and drinking needs by staff.

People told us that staff were kind and caring. Staff sought people’s views and involved them in decisions about their care. People were treated with dignity and respect.

People received a responsive service where their care was arranged according to their needs and wishes. Staff knew these needs well. Staff were flexible and adapted to peoples’ request to adjust their support. People received good continuity of care and received care at times that suited them. The management dealt with issues well and people felt confident that complaints would be dealt with appropriately by the registered manager.

The registered manager was well regarded. The registered manager had improved quality assurance systems and oversight of people’s care and information was used to drive service improvements. People, their relatives and staff were asked for their feedback and their opinions were respected and acted upon.

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 27 December 2018)

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.