Presious Healthcare Ltd

Updated 7 March 2019

The inspection:

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.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Presious Healthcare is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection the agency was providing personal care to nine people.

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:

We gave the service 48 hours’ notice of the inspection visit because it is a small service and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

We used information the provider sent us in the Provider Information Return. (PIR) This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders for example, the local authority and members of the public.

We spoke with two people during our visit, and three relatives. We spoke with seven staff during our visit, we also spoke with the registered manager and the nominated individual. We received written feedback from one health and social care professional. We looked at care documentation for three people using the service and their medicines administration records. We also looked at three staff files, staff training and supervision planning records along with other documents relating to the management of the service. These included records associated with audits and quality assurance, staff duty rotas and policies and procedures relating to medicines, safeguarding, complaints and supervision.

Updated 7 March 2019

What life is like for people using this service:

People using this service benefitted from a good, safe, effective, caring, responsive and well-led service. People and their relatives consistently told us how they were treated with kindness, compassion and respect. Feedback about the staff and the management team was consistently positive. One person told us, “[My relative] has never been happier.” Another person told us that staff regularly went over and above and stated, “My care plan says the staff should be with me for 30 minutes, but they often stay longer if they need to get things done.”

People’s choices about how their care and support should be delivered was recorded in care plans and their care was delivered by a staff team who embodied the values of the organisation and considered ‘caring’ to be the most important value. People are given the opportunity to express their views and are involved in the planning of their care and support.

People received care that is responsive to their needs. Staff know and understand the people using the service. Confidence in the staff and management team is consistently high. A relative told us “I don’t worry about [my relative] in that respect these days, they always get in contact with me and don’t over react; there is always a measured approach to things.”

The provider had a clear vision and strong values, this was embedded in the team by leaders who are visible, approachable and who lead by example. The staff team are motivated and enthusiastic about working for the organisation. We were consistently told by the staff that they were supported by managers who were always available when they needed support and advice.

More information in Detailed Findings below

Rating at last inspection:

This is the first time that service has been inspected – no previous rating

About the service:

Presious Healthcare is registered as a domiciliary care agency providing the regulated activity 'personal care' to the people who live in their own homes in Lincoln and the surrounding area.

Why we inspected:

This was a planned comprehensive inspection and was the first time the service had been inspected.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.