24 January 2023
During an inspection looking at part of the service
React Homecare Ltd is a domiciliary care agency providing support for people in their own homes. Not everyone using 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. The service was supporting 70 people at the time of the inspection.
People’s experience of using this service and what we found
Staff were recruited safely and knew how to keep people safe from harm and abuse. People described staff as caring and friendly.
People told us they received a better service from the directly employed staff rather than staff from an agency. The service had recognised this and had put plans in place to recruit and retain more staff.
People had plans of care in place which were reviewed with family members and health and care professionals where appropriate.
There were quality checks in place to monitor the quality of services provided.
People felt comfortable and safe with the staff and had confidence that any concerns or requests were listened to by carers.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: The service maximised people’s choice, control and independence. People were supported to have maximum choice and control of their lives. Policies and systems did support least restrictive practice. Where people needed support with their medication, this was managed safely.
Right Care: People told us that they felt comfortable and safe with the staff. Care was person-centred and promoted people’s dignity and privacy.
Right Culture: People told us they were confident to raise a complaint or a concern about the service and that it would be put right. The service’s management team had a clear vision and plan about how the service would develop and continue to improve. This included confirmation of investment in resources, staff and employee benefits.
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 30 April 2021) and there were breaches of regulation. 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 service was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for React Homecare Ltd on our website at www.cqc.org.uk.
This inspection was carried out ‘using remote technology'. We used electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment. We also visited the service’s office to have a conversation with the management team.