Background to this inspection
Updated
21 July 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 team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave the service 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 26 May 2022 and ended on 17 June 2022. We visited the location’s office on 31 May 2022.
What we did before the inspection
We reviewed the information we received about this service since they registered with the Commission. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed records relating to the running of the service including two care plans, three staff files and medication administration records. We spoke to a social care professional , who works closely with the service, two staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider . Following the inspection, we spoke with a social care professional and two relatives of people using the service.
Updated
21 July 2022
About the service
Ignite Health Care Limited is a domiciliary care agency providing personal care to people 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 our inspection there were two people receiving personal care.
People’s experience of using this service and what we found
All necessary pre-employment checks were not completed prior to staff commencing work. This was updated following the site visit. There was sufficient staff to meet the needs of the people the service currently supported. Risk assessments were in place, for example, in regards to mobility and environment. The registered manager conducted spot checks on staff to ensure they were wearing personal protective equipment (PPE) appropriately.
Staff had received appropriate training to support people. Staff supervisions were taking place to support staff. People were appropriately supported with eating and drinking and good hydration was encouraged. Care notes showed people were being supported with their oral hygiene needs.
Care plans and records were person centred and reflected the needs of the person. Staff had a good understanding of people’s needs and how they liked to be supported. Staff gave examples of how they treated them with dignity and respect. People using the service and their relatives were involved in care plan reviews.
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 .
We received positive feedback about the registered manager. The registered manager conducted monthly audits for each person using the service. The registered manager had plans for developing these further in the future. The service is small, the registered manager had a good knowledge of people using the service and regularly worked alongside staff.
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 5 November 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.
We have found evidence that the provider needs to make improvements. Please see the safe section of this full report.
Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have made a recommendation around the around safe recruitment of staff.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.