All inspections: Reva Healthcare Limited

Date of assessment: 12 December 2024. Reva Healthcare is a domiciliary care agency that provides personal care for adults living in their own home. At the time of our assessment, the service supported one person. At the time of the assessment, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. The provider demonstrated they were meeting the principles of right support, right care, right culture.

The rating at the last assessment was ‘Requires Improvement’ (published 05 July 2019). At that inspection, we identified breaches of regulations in the categories of safe, responsive, and well-led. At this assessment, we found the service had made improvements and was no longer in breach of any regulations. Therefore, the rating for this service has changed to good.

The service provided safe, inclusive, and person-centred care, with clear improvements. Strong safeguarding policies and regular reviews protected people from harm. Risks were well-managed through personalised plans like Personal Emergency Evacuation Plans (PEEPs). Staff regularly updated care plans and risk assessments to meet changing needs, with no safeguarding concerns reported in the last 12 months.

The service maintained sufficient staffing, with better hiring, training, and supervision ensuring a skilled team. Care plans were personalised, reflecting the person’s preferences, culture, and goals. Communication met the Accessible Information Standard (AIS), respecting individual needs. Governance improved through regular checks to identify and resolve issues. Overall, the service prioritised safety, respect, and high standards through clear processes and ongoing improvements.

About the service:

Unit 5 Red Lion is a domiciliary care agency providing care in people’s homes. This is the only location of the provider Holistic Care Solutions Limited. The owner of the organisation was the registered manager. At the time of our inspection one person was receiving the regulated service of personal care.

People’s experience of using this service:

A relative spoke very positively about the care their family member received from the service. They found the care staff friendly and caring. We found that the service was personalised to the individual and training for care staff was thorough.

However, we did find that whilst most staff recruitment practices were robust the provider had not undertaken sufficient action to record and investigate gaps in staff employment history. We made a recommendation that the registered manager follows best recruitment practice.

We also found that whilst the care plan we reviewed was person centred and reasonably detailed there were a couple of inconsistencies that gave staff incorrect information and could pose a risk to the person receiving inappropriate care.

Both relatives and staff felt well supported and the service provided was monitored by the registered manager to ensure quality care was provided.

Medicines were administered in a safe manner and the registered manager checked records monthly to ensure they were correctly completed.

The registered manager met with the person and their relatives prior to offering a service to understand what was required and how they would like care to be given. Also, to identify risks to the person and to agree measures for staff to take to mitigate those risks. Consent of the person was obtained prior to care being provided.

Care plans contained details of the person’s religious and cultural preferences and contained outcomes to support their future independence.

Rating at last inspection: This was the service first inspection since registering with the CQC on 21 March 2018.

Why we inspected: This was a planned inspection in line with our scheduling guidelines.

Follow up: We will continue to monitor notifications and information we receive about this agency. We will inspect again in line with our inspection scheduling unless there is information that supports bringing an inspection forward.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Reva Healthcare Limited

All Inspections

During an assessment under our new approach

26 April 2019

During a routine inspection