Executive Homecare Services Limited

Updated 14 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector.

Service and service type:

Executive Homecare Services Limited is a domiciliary care service providing care and support to people in their own homes.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We intended to give the service 24 hours’ notice of the inspection visit. This is because it is small service, the registered manager is often out of the office supporting staff or providing care and we needed to be sure that they would be in. However, due to personal circumstances this notice period was extended to four days.

What we did:

Before the inspection we checked the information that we held about the service. This included statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send us by law. We also requested feedback from the local authority.

Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. Due to technical problems, the provider was not able to complete a Provider Information Return.

Inspection site visit activity started and ended on 15 April 2019. We visited the office location to see the registered manager and office staff; and to review care records, policies and procedures and other management records. This was followed up with telephone calls to people and their relatives supported by the service and staff.

Updated 14 May 2019

About the service:

Executive Homecare Services Limited is a domiciliary care service providing care and support to people in their own homes. At the time of our inspection the service was supporting seven people with the regulated activity of personal care. CQC only inspects the service being received by people provided with a regulated activity.

People’s experience of using this service:

People were appropriately supported to take their medicines safely and as prescribed.

People and their relatives told us they felt safe with the staff, it was usually the same carers that visited and they had got to know them well. One relative said, “Yes, it’s the same carers and we know them well.” They also said that staff usually arrived on time and stayed for as long as they were needed.

The service worked effectively with other healthcare professionals to ensure people’s health and wellbeing was maintained. People and their relatives commented that staff were good at monitoring any changes in people’s health and supporting them to get further medical attention when needed.

All the people and relatives said the staff were caring. One relative said, “We have a nice relationship with the carers, we feel like we know them and they’re lovely with [Relative]. We’re lucky to have them and we have a good laugh with them too.”

The care plans we looked at were informative, regularly reviewed and reflected the needs of the people supported by the service.

There was a positive and caring culture amongst staff at the service and they were focused on delivering a high-quality service to the people they supported.

Rating at last inspection:

At the last inspection the service was rated good (14 October 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

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