We carried out a review of the data available to us about We-Care-Recruitment Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about We-Care-Recruitment Ltd, you can give feedback on this service.
We Care Recruitment Ltd provides a domiciliary care service to enable people living in Oxfordshire and the surrounding areas to maintain their independence at home. There were seven people using the service at the time of the inspection, who had a wide range of physical and health care needs. The CQC only inspects services where people receive personal care which is help with tasks related to personal hygiene and eating. Where services offer personal care, we also consider any wider social care provided.
People's experience of using this service
The manager and staff strived to provide safe care and support. The manager worked with GPs and other healthcare professions to ensure the service responded to people's changing needs safely and effectively. People's care was personalised and matched their needs, which promoted their wellbeing and improved their quality of life.
People told us staff were caring and kind. Staff's commitment and knowledge enabled people to receive care from staff who knew them well.
The manager looked for ways to improve people's lives. Staff culture was positive, and the team was caring. This had resulted in the provision of compassionate and personalised care. The service had a clear management and staffing structure in place. Staff worked well as a team and had a sense of pride working at the service. The provider had quality assurance systems in place to monitor the quality and safety of the service.
People received safe care from skilled and knowledgeable staff. People told us they felt safe receiving care from the service. Staff fully understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place.
Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely, and people received their medicines as prescribed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health and to meet their nutritional needs.
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 last inspected on 19 September 2018 and was rated as Requires improvement. There were two breaches of regulations. 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 carried out to follow up on action we told the provider to take at the last inspection.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care.
Further inspections will be planned for future dates.
At the time of our inspection a registered manager was in place at the service. 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.
This is the first inspection of the service since it was registered with the Commission.
At this inspection we found the service was not always safe and well-led. Therefore, the service has been rated as Requires Improvement in these domains. The service has been rated Good in effective, caring and responsive. As a result, the service was rated overall as Requires Improvement.
The registered manager conducted some quality assurance audits to monitor the running of the service. However, records didn’t always reflect these had been completed to monitor, assess and improve the quality of the service being delivered. This was a breach of Regulation 17 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
Required checks for new staff were not always completed to ensure staff were fit to undertake their role and were of good character. This is a breach of Regulation 19 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
There was a complaints process in place and where complaints had arisen, the provider had taken action that was appropriate. However, records did not always reflect the investigation that took place to respond to the complaint. We have made a recommendation that the service seeks current guidance on establishing and operating an effective and accessible system for dealing with complaints.
Investigations took place when accidents or incidents happened. However, records did not always reflect the investigation that took place or that lessons learnt had been disseminated to the staff team.
People told us they felt safe. There were systems in place to protect people from the risk of abuse and potential harm. Staff were aware of their responsibility to report any concerns they had about people's safety and welfare.
The provider had continuity plans in place to ensure that people's support needs would still be met in emergency situations. Infection control policies and procedures were followed to ensure the control of infection.
People and their relatives spoke positively about the care and support offered by We-Care-Recruitment Ltd. People told us they had formed trusting relationships with staff. People's privacy and dignity were protected. People and their relatives told us staff treated them with respect.
Staff had a good understanding of people's needs and were kind and caring.
People had their needs assessed and received appropriate person-centred care that was individualised to their specific needs. Care and risk plans were reviewed and the service worked in partnership with external agencies to meet people's needs.
Staff were aware of their responsibilities to ensure people's rights were promoted. Where required people were supported to access healthcare services to maintain their health and wellbeing.
Staffing levels were monitored by the registered manager to ensure sufficient staff were on duty to keep people safe. Staff received the training they required to help them keep people safe.
People and their relatives were encouraged to comment on how they felt about the service provided.
You can see what action we told the provider to take at the back of the full version of the report.