Gian Healthcare

We last inspected Gian Healthcare in April 2017 where the service was rated as Requires Improvement overall and in the Effective and Well-led key questions. This was due to breaches of regulation 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, due to concerns found relating to staff induction, supervision and quality monitoring systems.

This latest inspection took place on 25 July 2018. We gave the service 48 hours' notice to ensure the registered manager would be in the office to facilitate the inspection. At the time of this inspection, four people were receiving domiciliary care support from Gian Healthcare, however only two were in receipt of a regulated activity which was personal care. Other people who used the service received support with domestic tasks such as cleaning and other household tasks.

We found appropriate action had been taken to address the concerns found at the inspection in April 2017.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had a robust recruitment process to help ensure people employed were suitable to work with vulnerable people.

Safeguarding policies and procedures were in place and the staff demonstrated a good understanding of safeguarding concerns and the process to follow if they suspected abuse had taken place.

Risk assessments were in place and support plans devised to mitigate any risks presented to people.

Appropriate systems were in place to manage people's medication.

Staff told us they were well supported and were inducted in to the service and received ongoing training to support them to undertake their role. We found improvements had been made to the staff induction and supervisions processes which had been a concern at our previous inspection in April 2017.

The service was working within the legal requirements of the Mental Capacity Act (MCA) 2005 and staff displayed a good understanding in this area.

Appropriate systems were in place to ensure people received good nutrition and hydration and that specific

diets were catered for such as for those people with diabetes.

The feedback we received was that staff were kind and caring towards people.

Each person who used the service had an appropriate care plan in place which provided person centred information about how they liked their care to be delivered.

There was a complaints policy in place and we saw any complaints had been responded to appropriately.

Each person who used the service had their own care plan in place which provided detailed information about the care and support they required from staff.

We received positive feedback about management and leadership. Systems and processes were in place to monitor the quality of service being delivered.

A range of policies and procedures were in place to ensure appropriate guidance could be sought when needed.

The five questions we ask about services and what we found