About the service Radiant care services LTD is a domiciliary care agency based in Redhill, providing support with personal care to people in their own homes and flats. At the time of our inspection there were 60 people using the service. People had physical support needs, some of them also lived with dementia.
People’s experience of using this service and what we found
The registered manager had a very hands-on approach to overseeing the care provided to people. However, the service grew significantly in the recent year and the governance systems did not always support them to have an effective oversight. Hence, not all quality and safety improvement needs around people’s and staff records and processes in the service were identified and addressed.
The registered manager ensured appropriate action was taken to address people’s individual risks and to provide them with support when their needs had changed. However, people’s care records did not always reflect those changes.
Where people required support to take their medicines, staff supporting them were trained in medicines and their practice was checked by management during spot check visits. Staff also received induction when they first started and the registered manager ensured they were competent for their roles before supporting people on their own.
There were enough staff to support people and the registered manager supported staff hands-on which minimised risks to people who had consistent support allocated. Staff told us they felt supported in their roles and people and their relatives found staff competent and kind.
People felt safe with staff who knew how to recognise and report any concerns, including concerns around their health, wellbeing, risk of abuse or neglect.
People, their relatives and staff commented that the service had a positive culture and management were approachable and acted on their feedback to improve 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
The last rating for this service was good (published 25 May 2021)
Why we inspected
The inspection was prompted in part due to concerns received about risk management and safety of people’s care. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. However, we found no evidence during this inspection that people were at immediate risk of harm from these concerns. Please see the Safe and Well-Led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Radiant care services LTD on our website at www.cqc.org.uk.
Enforcement and 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 identified a breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
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.