Background to this inspection
Updated
4 February 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 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
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 15 December 2022 and ended on 20 December 2022. We visited the location's office/service on 15 and 16 December 2022.
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 used all the information held about the provider to plan our inspection.
During the inspection
We spoke with 1 person who used the service about their experience of the care provided. We spoke to the registered manager and received feedback from 2 staff who deliver care to people.
We reviewed a range of records, this included 2 people's care records. We looked at staff files in relation to recruitment, training and a variety of records relating to the management of the service, including policies and procedures.
Updated
4 February 2023
About the service
Transforming Minds is a domiciliary care service providing the regulated activity of personal care. At the time of our inspection there were 2 people using the service. Not everyone who used 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.
People's experience of using this service and what we found
The provider had failed to ensure safe recruitment practices had been followed for all staff who were involved in the planning and delivery of personal care. We found effective quality monitoring systems had not been fully developed to monitor the quality of the service and the care practices of staff. The registered manager recognised further systems would be needed to monitor people’s care and staff development if the service expanded. We have made a recommendation about the comprehensiveness of the provider’s quality assurance systems.
People praised the care they received from staff at Transforming Minds. They told us staff were kind and they felt safe when they were supported with their personal care.
Systems were in place to prevent people being harmed and to manage their personal risks. Staff had access to information about the management of people’s care needs and their risks.
We checked the registered managers and staff’s knowledge and their policies relating to supporting people with their medicines and people who may lack mental capacity to ensure safe systems were in place if the service began to support people with more complex needs.
Staff understood the importance of reporting any safeguarding concerns, incidents or changes in people's health and well-being.
There were enough staff to support people. People told us staff were reliable and punctual.
Staff felt supported and had been trained to carry out their role. The provider was planning additional classroom-based training to enhance staff’s online training and planned to implement the Care Certificate.
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.
The views and feedback from staff and people who use the service was valued by the registered manager to help them drive improvements. Lessons were learnt and improvements were made when incidents
occurred.
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 15 December 2021 and this is the first inspection.
Why we inspected
This service had not been inspected since their registration; therefore, this inspection was also carried out to gain assurances about the quality of care and systems used to monitor and manage the service.
Enforcement and Recommendations
We have identified a breach of regulation in relation to safe recruitment.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.