Panacea Care specialises in providing care to people who have mental health needs. At the time of our inspection Panacea Care provided shared accommodation and support to eight people living in two houses at Wood End Green Lane and Pield Health Road. We visited Wood End Green Lane where there were five people using the service and one person was in hospital. This service is staffed seven days a week from 9am-5pm with on-call support for people after these hours. We also visited on the second day of the inspection Pield Heath Road service. This is where people receive support from staff twenty four hours a day and currently two people were using the service. Panacea Care is also registered as a domiciliary care service. This provides home care support to people who have mental health needs living in the community. At this inspection there were four people using this particular service but they did not receive any support with personal care and so this was not inspected at this visit.
Panacea Care had 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 inspection was carried out on 30 and 31 March 2016 and the first day was unannounced.
The service was last inspected the 9 and 10 February 2015. At that inspection we found that the provider was not meeting the legal requirements in relation to ensuring staff received ongoing training and an annual appraisal of their work, notifying the Care Quality Commission of significant events and having effective systems in place to assess and monitor the quality of service provision. At this inspection we found the provider had made improvements.
However, we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as there were not enough staff deployed to meet people’s needs safely.
There was a recruitment, induction and training process to ensure people benefitted from receiving support from suitable staff who had the skills and knowledge to meet people's needs.
The registered manager was notifying the CQC of important events and this included action taken.
The Mental Capacity Act (2005) had been appropriately applied and considered. People were involved in how they wanted to be supported and had consented to the support they received.
People’s feedback on the service and the support they received from staff was positive.
Staff respected people’s wishes, gave them choices and supported them to be as independent as possible.
People received individualised support that met their needs.
The provider had a policy and procedures for safeguarding people using the service and staff told us they had completed safeguarding adults training.
People’s support plans covered their care and needs and detailed the support they needed from staff.
Systems were in place to support people to take their medicines safely and independently where they were able to manage this task. Checks took place to make sure people safely received their medicines.
Staff supported people to attend health and medical appointments, if this support was necessary.
There was an appropriate complaints procedure in place.
The provider was active in seeking feedback from people with regard to their experiences of the service and used this to drive improvement and make alterations to how the service was run.
There were various quality assurance checks in place to ensure the service operated effectively and safely.
You can see what action we told the provider to take at the back of the full version of the report.