20 May 2022
During a routine inspection
Retain Healthcare Bristol is a domiciliary care service that provides support to people in their own home. At the time of our inspection there were 13 people using the service.
People’s experience of using this service and what we found
People received their medicines safely although improvements were required to the recording of external medicines including creams and patches that were applied by staff. People’s support plans contained important information relating to their life histories and medical conditions although some information such as where the person’s gas and water supply safety valves was not always recorded within the designated section of their support plan.
People were supported by staff who received training and spot checks to monitor their practices. Staff felt supported and had supervisions, which were an opportunity to discuss and address any areas of improvement. People felt supported by staff who gave them choice and control. People were supported by enough staff and by staff who had checks prior to working with vulnerable adults.
Staff had a good understanding of the different types of abuse and who they should raise any concerns with. People were supported by staff to access health care professionals when required. Feedback from health and social care professionals confirmed the service worked in partnership with them and communication was now much improved with regular twice a week meetings being undertaken.
Quality assurance systems had not always identified shortfalls found during our inspection. For example, in relation to the recording of topical creams and pain patches on body maps and notifications submitted under the wrong service details. People had their views sought when office staff undertook a review of their care. Following the inspection the registered manager confirmed three people had completed a customer satisfaction survey. All three people were happy with their care.
Rating at last inspection
This service was registered with us on the 25 February 2021 and this is the first inspection.
Why we inspected
This is a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk