Olive Tree (Kirklees) Limited Also known as Olive Tree Care

Olive Tree (Kirklees) Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection the service was providing personal care to three people.

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

People received their medicines safely and they were administered by trained staff. Staff knew how to keep people safe and understood their safeguarding responsibilities. People were satisfied with the service they received. A relative told us, “I feel [person] is safe when the care staff are there.” Care and support needs were documented. People were protected from the risk of infection.

Staff we spoke with had a clear understanding of their roles. A number of audits were undertaken of the quality and safety of the service. These were analysed and any patterns or trends addressed where necessary. People were supported by staff who were motivated, enjoyed their job and felt well supported. Staff received regular supervision, assessments of their competency and training. The provider had a clear vision about the quality of care they wanted to provide.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 31 December 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

We received concerns in relation to peoples care needs, staff recruitment, training practices and PPE. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has improved to good. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Olive Tree (Kirklees) Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Olive Tree (Kirklees) Limited is a domiciliary care agency providing care to people in their own houses and flats.

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. At the time of our inspection, 10 people were receiving this service and nine of these people received a regulated care service.

People’s experience of using this service and what we found

At our last inspection, we found training records did not demonstrate staff received training in mandatory areas. At this inspection, gaps were seen in training, supervision and appraisal records.

Medication was not managed safely. Staff were trained in medication management, but did not have their competency checked. One staff member signed to say they administered medicines at calls which we found they had not attended.

Risks to people were not adequately assessed. Key risk assessments were missing or did not adequately cover individual risks to people.

Recruitment practices were not found to be safe. Two office staff members did not have DBS checks and two care workers were found to have DBS check results received after their start date.

Care plans were difficult to use. Moving and handling sections contained general information about how to assist people to move, which meant this was not person specific.

Systems of governance were not effective as insufficient numbers of documents were sampled and audits did not identify concerns we found when looking at the same records.

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; however, the policies and systems in the service did not support this practice.

People and relatives provided consistently positive feedback about the service they received. People said they were involved in the setting up and reviewing of their care needs.

Spot checks were taking place to observe staff practice. Feedback was requested through satisfaction surveys, although results were not communicated back to people.

Feedback regarding the registered manager was positive as people, relatives and staff said they were approachable and supportive. The registered manager worked with other services to meet people’s health and care needs.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 October 2018) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, enough improvement had not been made as the provider was still in breach of this regulation. Four new breaches of regulation were found at this inspection. The service remains rated requires improvement. This service has been rated requires improvement for the last two inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

At this inspection, we have identified five breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to person-centred care, consent to care, safe care and treatment, good governance and recruitment of staff.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Olive Tree (Kirklees) Limited is a domiciliary care agency. The service provides personal care to people living in their own homes in the community.

Olive Tree (Kirklees) Limited has a registered office which is situated in the Batley area. At the time of our inspection the registered provider was providing a service to 15 people.

At the time of our inspection the service had a registered manager. 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 registered provider had a safe recruitment system to ensure suitable staff were selected to support vulnerable people. However, records we saw did not always contain a full employment history.

It was not clear what training staff had received to give them the knowledge to carry out their role. Staff support networks such as supervision, appraisals and team meetings needed to be developed and embedded into practice.

People were safeguarded from the risk of abuse. Safeguarding training was completed as part of the induction package. Concerns were reported when required and appropriate actions had been taken.

Risks associated with people’s care and support were identified and action was taken to ensure people were as safe as they could be.

People who required support to take their prescribed medicines, were assisted and documents were maintained to evidence this.

The registered provider had policies and procedures in place to ensure there were no discrimination and to ensure the protected characteristics of the Equality Act were considered when making support decisions.

Where people required support to eat and drink this was offered. People received support from healthcare professionals as required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s likes and dislikes were included as part of their care records and staff we spoke with knew people well.

We looked at care records and found they reflected the support package the care workers were delivering. Care records were person centred and included information about how people liked to be supported and this was respected.

The registered provider had a complaints procedure which was included in people's care records folder, which was kept in their home.

The registered provider had systems in place to ensure the service was monitored. However, these systems required embedding into practice.

People who used the service had opportunities to voice their opinion of the service and offer constructive feedback. This was used to develop the service.

Further information is in the detailed findings below.