We carried out a review of the data available to us about Casbrook Home Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Casbrook Home Care Limited, you can give feedback on this service.
People’s experience of using this service:
People received safe care. Specific risks to people's safety were assessed and strategies were put in place to reduce the risks.
There were sufficient staff employed to meet peoples’ collective needs. There were robust recruitment procedures in place to ensure only suitable staff were employed.
Where the provider took on the responsibility, people's medicines were safely managed.
Staff followed appropriate infection control procedures to help to reduce the risk and spread of infection.
Staff received training that enabled them to have the skills and knowledge to provide effective care.
Staff received good ongoing support from the registered manager and deputy.
People were supported to maintain good nutrition and hydration.
The service worked in line with The Mental Capacity Act.
People were treated with kindness, compassion and respect.
People and their relatives were involved in the care planning and reviews of their care.
People's needs were assessed, and the care provided met their needs.
The system of electronic record keeping meant the service was transparent and ensured any changes to people’s assessed needs were understood and responded to quickly.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Systems were in place to continuously monitor the quality of the service.
The service was well managed, the registered manager and staff took a pride in the service and sought to continually improve.
Rating at last inspection:
The service was last inspected in October 2016 and we rated the agency as providing good care.
Why we inspected:
This was a planned comprehensive inspection based on the rating from the previous inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner. For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The inspection took place on the 27, 28 and 29 September 2016 and was announced.
The service had a registered manager. 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.
People told us they felt safe and were confident in the staff that provided their care and supported them.
People were safe because staff understood their role and responsibilities to keep them safe from harm.
Staff had a good knowledge of the provider’s whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.
Recruitment processes were robust to make sure people were cared for by suitable staff. There were sufficient numbers of staff deployed to meet people’s needs.
People were supported by staff who received regular training, support and supervision to help them provide effective care.
Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.
People had good relationships with the staff and were treated with dignity and respect.
There were systems in place to monitor the care provided and people’s views and opinions were sought regularly.
Casbrook Home Care is a domiciliary care service providing care and support to people living in their own homes. The office is located in Romsey and the service currently provides care and support to people living in the surrounding area. At the time of our inspection there were 94 people using the service.
The service had a registered manager. This 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.
Staff had not received all of the training relevant to their role. Despite describing itself as a service providing support for people living with dementia only five staff from a compliment of 36 had undergone training in this area.
The provider did not have systems or processes in place to monitor and evaluate the quality of service being delivered to people using the service.
People told us they felt safe using the service. They said their care workers identified themselves on arrival and this made them feel safe. All staff had received safeguarding training and knew what to do if they had concerns about the well-being of any of the people using the service.
Staff were safely recruited to help ensure they were fit to work with people who use care services.
Staff supported some people with their meals. Most people said they were pleased with how their meals were prepared. Staff were flexible with meals and understood that people might change their minds about what they wanted on a day to day basis.
People told us staff were aware of their health care needs and knew when to call the GP or other healthcare professionals if they needed them. If people appeared unwell staff knew what to do. If people needed support with their medication staff provided this safely.
People told us the staff were caring and treated them with dignity and respect. Records showed that people’s care was provided by either a single staff member or a group of two to three care workers. This enabled people to get to know the staff who supported them.
People were directly involved in the planning of their care and encouraged to be independent and made choices about how they wanted their support provided.
We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.