Background to this inspection
Updated
17 May 2023
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
This inspection was completed by 1 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 12 October 2023 and ended on 20 October 2023 We visited the location’s office on 12 October 2023.
What we did before the inspection
We reviewed information we had received about the service since they registered. We sought feedback from the local authority who work with the service. 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 used all this information to plan our inspection.
During the inspection
We spoke with 2 relatives of people who used the service about their experience of the care provided. We spoke with 4 members of staff including the registered manager and care workers.
We reviewed a range of records. This included 3 people’s care records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
17 May 2023
About the service
Royton Limited is a domiciliary care agency. They provide personal care to people and children living in their own homes. 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 the inspection 3 people were receiving personal care.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right Support
Medicine administration records required improvement. Staff used different and incorrect codes to record when medicines were given by a relative and as required medicines did not always have the information required to ensure it was given as prescribed.
Staff recruitment procedures needed to be embedded to ensure all staff had the correct checks to work with vulnerable people and children.
People were protected from potential abuse. Staff received training and understood the signs and symptoms to be aware of. Records were completed if an injury was identified.
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.
Right Care:
People were supported by staff who knew them well and had the skills and knowledge to support them safely. Staff arrived on time and stayed the allocated amount of time. People had a consistent staff team.
Staff wore appropriate personal protective equipment to protect people from risks of infections.
Care plans held person-centred information within them to ensure staff had the information to support people in line with their assessed needs and individual wishes.
People’s health needs were assessed. Referrals were made as appropriate to healthcare professionals. People were supported with oral care.
Right Culture:
Systems and processes to ensure good management oversight required embedding into practice. The registered manager was open and transparent throughout the inspection and implemented changes based on feedback.
People and relatives described staff as “lovely, kind, caring, amazing.” Staff were committed to offering good quality, personalised care. Relatives told us staff always treated people with dignity and respect.
People’s communication needs were recorded and detailed. This supported staff to communicate effectivity with people.
Staff felt supported in their roles. People, relatives and staff were asked to feedback on the service.
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 29 October 2020, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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.