Pacific and Gold Healthcare

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 the service was supporting six people with personal care.

People did not always receive safe care. Staff had not always been recruited safely into the service. Recruitment files had missing information, including how the service was reassured staff were suitable to work with vulnerable people. The service had failed to assess people for risks that would put them at harm. Whilst there were audits and checks in place to monitor the quality of the service these issues had not been identified by the provider's quality assurance systems.

People were protected from abuse. Staff knew how to recognise and report abuse. People and relatives told us they received safe care. People received support from a regular and committed staff team. Staff were trained to administer medicines safely. Competency checks had been completed to ensure staff were following safe medicine practices. Staff had received training in infection control and demonstrated an understanding of what personal protective equipment (PPE) should be used when supporting people. People told us staff wore PPE whilst spending time in their homes.

Staff knew people well and supported them based on their needs, choices and preferences. They were knowledgeable about their role and the expectations of people who were in receipt of care. Staff received regular training which had provided them with the necessary knowledge to meet people's needs.

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. Care plans were detailed and up to date and contained person centred information.

The service promoted person centred care and had an open and honest culture. Staff spoke very positively about the registered manager and their colleagues, describing them as, approachable and supportive.