Paradise Care Ltd

Updated 30 March 2022

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 service was inspected by one 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.

The service had a manager registered with the Care Quality Commission. 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.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 28 February 2022 and ended on 07 March 2022. We visited the location’s office/service on 28 February 2022.

What we did before the inspection

We reviewed information we had received about the service since it registered with CQC. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection-

We spoke with one person and one professional who use the service about their experiences of the care provided. We spoke with three members of staff including the registered manager.

We reviewed a range of records. This included one person’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 30 March 2022

About the service

Paradise Care is a is a domiciliary care agency registered to provide personal care to people living in their own homes. 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. At the time of inspection, the service was providing personal care and support to one person.

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

Paradise Care currently provide care for one person who told us they felt safe being supported by care workers in their own home. Staff had been recruited safely following completion of relevant checks. We have made a recommendation about best practice recording of recruitment documentation.

Staff were trained in medicine administration and had their competency assessed regularly. Staff had access to appropriate personal protective equipment (PPE) to prevent the spread of infection. Thorough initial assessments were carried out to ensure the daily needs and choices of people could be met.

A comprehensive induction and mandatory training was completed by staff. Competency was monitored through spot checks and supervisions. The registered manager valued continuous learning and supported staff to complete additional qualifications to gain a knowledgeable workforce. Staff felt confident and able to support people safely.

Nutritional needs were supported, where required. People were supported to live healthier lives and access healthcare services.

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.

Staff were reported to be respectful in people’s homes. Staff spoke kindly of the people they supported. People, relatives and professionals were contacted regularly, formally and informally to ensure they were actively involved in care provision. People’s opinions about end of life care was respected.

Independence was promoted as staff took time to understand what people needed support with. This enabled people to remain as independent as possible. Information about how to complain or provide feedback about the service was provided within care records in people’s houses.

Although there were systems in place to monitor the safety and quality of the service provided, these systems and processes were still being developed by the registered manager and support team. It needs to be demonstrated going forward that developments made are embedded and sustained.

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 registered with us on 22 June 2020 and this is the first inspection.

Why we inspected

This was a planned inspection because the service had not been inspected or rated.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.