Background to this inspection
Updated
12 August 2022
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 out by one 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.
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. However, this inspection was supported by the deputy manager.
Notice of inspection
This inspection was announced.
We gave the service 72 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that a representative from the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 14 July 2022. We visited the office location on 14 July 2022.
What we did before 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 reviewed the intelligence that we held about the service and feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and six relatives about their experience of the care provided.
We spoke with the deputy manager and received feedback from three staff members by email.
We reviewed a range of records. This included four people’s care records and medication records. We looked at three staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were reviewed. After the inspection, we continued to seek clarification from the provider to validate evidence found.
Updated
12 August 2022
About the service
Rehoboth Health and Home Care Ltd is a domiciliary care service providing personal care to people in their own home. At the time of the inspection, 19 people were receiving support from the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to 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 and their relatives told us they felt safe when being supported, and staff treated them with dignity and respect. Staff understood their role to report any safeguarding concerns and accidents and incidents to the managers.
Improvement had been made to the assessment and management of people’s risks, medicines and associated records.
People’s prescribed medicines were being safely managed. The deputy manager was planning to review people’s non-prescribed medicines, such as barrier creams to ensure they were safe to use.
Staff had access to people’s care plans and guidance on how they should support people to mitigate risks.
Some relatives raised concerns about the variable times of people’s care calls which was discussed with the deputy manager. They explained recruitment of staff had been a challenge for the service and were actively recruiting new staff.
Improvement had been made to the provider’s quality assurance systems. However, the deputy manager recognised that further development was needed in the monitoring of people’s care records to ensure all records were consistently detailed.
People received care and support which was personalised and met people’s needs. The deputy manager had a good insight into people’s care delivery and staff practice as they frequently delivered care to people and worked alongside staff.
The provider and deputy manager valued people’s feedback and told us they would respond promptly to any complaints in line with the provider’s policies. Relatives confirmed the managers were responsive to people’s concerns.
People were supported by staff who had been trained as part of their induction to carry out their role. The provider was considering their induction and additional training for staff which would support and confirm any skills acquired in their role, such as catheter care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 22 June 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do to improve, and by when. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rehoboth Health and Home Care Limited on our website at www.cqc.org.uk.