Gian Healthcare

Updated 6 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 25 July 2018 and was announced. The provider was given 48 hours’ notice because the location provides a small domiciliary care service and we needed to be sure that someone would be available to facilitate our inspection. The inspection team consisted of one adult social care inspector from the Care Quality Commission (CQC).

At the time of our inspection four people were receiving a domiciliary care service, however only two people were in receipt of a regulated activity which was personal care. Other people who used the service received support with domestic tasks such as cleaning.

Before the inspection visit we reviewed the information we held about the service, including notifications we had received such as any safeguarding incidents that had taken place. We contacted both Stockport and Manchester council prior to the inspection, however they did not have any information to share with us about the service.

We did not ask the service to complete the Provider Information Return (PIR), prior to the date of the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We looked at a range of documentation during the inspection. This included two care plans, five staff personnel files, one medication administration record (MAR), staff training records, supervision/appraisal and induction records and policies and procedures.

We spoke with several people during the inspection which included one person who used the service, one relative and two care staff. We also spoke with both the registered manager and a director of the service. This was in order to seek feedback about the quality of service being provided.

Updated 6 September 2018

Gian Healthcare is a Domiciliary Care service registered to provide personal care and support to people who live in their own home, predominantly in the Stockport area of Greater Manchester.

We last inspected Gian Healthcare in April 2017 where the service was rated as Requires Improvement overall and in the Effective and Well-led key questions. This was due to breaches of regulation 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, due to concerns found relating to staff induction, supervision and quality monitoring systems.

This latest inspection took place on 25 July 2018. We gave the service 48 hours’ notice to ensure the registered manager would be in the office to facilitate the inspection. At the time of this inspection, four people were receiving domiciliary care support from Gian Healthcare, however only two were in receipt of a regulated activity which was personal care. Other people who used the service received support with domestic tasks such as cleaning and other household tasks.

We found appropriate action had been taken to address the concerns found at the inspection in April 2017.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had a robust recruitment process to help ensure people employed were suitable to work with vulnerable people.

Safeguarding policies and procedures were in place and the staff demonstrated a good understanding of safeguarding concerns and the process to follow if they suspected abuse had taken place.

Risk assessments were in place and support plans devised to mitigate any risks presented to people.

Appropriate systems were in place to manage people’s medication.

Staff told us they were well supported and were inducted in to the service and received ongoing training to support them to undertake their role. We found improvements had been made to the staff induction and supervisions processes which had been a concern at our previous inspection in April 2017.

The service was working within the legal requirements of the Mental Capacity Act (MCA) 2005 and staff displayed a good understanding in this area.

Appropriate systems were in place to ensure people received good nutrition and hydration and that specific diets were catered for such as for those people with diabetes.

The feedback we received was that staff were kind and caring towards people.

Each person who used the service had an appropriate care plan in place which provided person centred information about how they liked their care to be delivered.

There was a complaints policy in place and we saw any complaints had been responded to appropriately.

Each person who used the service had their own care plan in place which provided detailed information about the care and support they required from staff.

We received positive feedback about management and leadership. Systems and processes were in place to monitor the quality of service being delivered.

A range of policies and procedures were in place to ensure appropriate guidance could be sought when needed.