Pure Care Services Ltd, a small domiciliary care agency supporting four people, achieved an overall Good rating on its first CQC inspection, with strengths in safe care delivery, staff training, and a compassionate culture. The Well-Led domain was rated Requires Improvement due to governance gaps, including quality audits failing to identify shortfalls in recruitment records and care documentation.
Concerns (3)
moderate
Governance
: “Quality systems were not always robust. Systems had not identified some gaps in recruitment practice and where some improvements were needed to care records.”
minorRecord keeping: “The provider's auditing processes needed improvement to ensure records contained enough information to guide staff about people's support needs.”
minorStaffing levels: “Some staff told us care calls were only covered as they were willing to work extra hours.”
Strengths
· People were protected from abuse; relatives confirmed their loved ones received safe care with no missed calls and good timekeeping.
· Staff were trained in administering medicines safely and competency checks had been completed.
· Staff received IPC training and had sufficient PPE; relatives confirmed appropriate PPE use.
· People's needs were assessed and regularly reviewed; relatives were involved in developing care plans.
· Staff demonstrated a caring, enthusiastic culture with good knowledge of the people they supported.
Quality-Statement breakdown (21)
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink; accessing healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with others; Continuous learning and improving careGood