15 December 2022
During a routine inspection
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.