We carried out a review of the data available to us about Ami 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 Ami Home Care Limited, you can give feedback on this service.
Ami Home Care Limited is a domiciliary care agency providing personal care and support to people living in their own homes. At the time of the inspection, 52 older people were using the service.
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.
People’s experience of using this service and what we found
People using the service received personalised care and support which met their needs and reflected their preferences. They told us they had been involved in planning their care and were happy with the support they received.
People told us the staff were kind, caring and respectful. They offered people choices and respected their decisions. Senior staff had liaised with relevant external professionals and commissioners to help make sure people received the right support and equipment from others when needed.
Risks to people's safety and wellbeing had been assessed and planned for. People were encouraged and supported to be independent where they were able to be, and risks were managed in order to help protect them and the staff who were caring for them.
People received their medicines in a safe way and as prescribed. The staff had a good understanding about their healthcare needs.
The provider recruited suitable staff and made sure they received the support, training and supervision they needed to care for people safely. The managers made regular checks on the staff to assess their skills. The staff told us they felt supported and able to discuss their work with the management team.
Systems for monitoring and improving the quality of the service were operated effectively. The registered manager and management team carried out a range of audits and checks. They responded appropriately to adverse events, such as complaints and safeguarding alerts. They also asked stakeholders for their feedback about the service. We saw they had adapted and improved the service in response to this monitoring.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was good (published 18 October 2018).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Ami Home Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older people including those living with the experience of dementia, people with mental health needs, people with a sensory impairment, to younger adults and to people with a physical disability and/or learning disabilities. The service offers support to people who require help with day to day care including personal care, meal preparation, outreach services and companionship. When we inspected, the service was supporting 11 people, seven of whom were receiving personal care.
The service is required to have a registered manager and there was one in post who was also a director of the company. 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.
Monitoring processes had not always been robust in identifying shortfalls to be addressed. The provider took action to amend this and was able to show us the processes that they were going to follow to monitor aspects of the service more effectively.
People and relatives confirmed staff kept people safe when providing them with support and care.
Staff and the provider knew how to report any suspicions of abuse. Policies and procedures for safeguarding people were in place.
Risk assessments identified risks to individuals and any environmental risks so they could be addressed.
Recruitment checks were carried out to confirm prospective staff were suitable to work with people. People had the same care workers to provide continuity of care and there were enough staff to meet the needs of the people using the service.
Staff received medicines training prior to supporting people with their medicines and knew how to do this safely. Staff confirmed they followed infection control procedures to protect people from the risk of infection.
People were assessed by the provider to identify their needs and wishes, so these could be met. Staff had undertaken training to equip them with the skills and knowledge to understand and care for people’s individual needs effectively.
Staff helped people with simple meal preparation and said they would report if someone was not eating and drinking sufficiently. People’s health needs were identified and staff knew the process to follow if someone became unwell, including summoning the emergency services if required.
The provider understood their responsibility to act within the requirements of the Mental Capacity Act 2005 and to provide care and support in people’s best interests.
People and relatives said the staff were caring and understood people’s individual needs and wishes and communicated well with them. They said staff treated people with respect and maintained their dignity.
Staff supported people to maintain as much independence as they were able and respected their right to make choices about the care and support they received.
Care records were personalised and reflected the care people wanted to receive. Some discrepancies in information were addressed during the inspection. They included information about their lifestyles and interests and where relevant any religious and cultural needs so staff could respect these.
The provider had a complaints procedure. People and relatives said they felt confident to raise any concerns and that issues they had raised had been promptly addressed.
People were asked their opinions about the service they received and given the opportunity to provide feedback.
People and relatives were happy with the care and support people received and the way the service was being run. Staff said the provider was approachable and that they received support in their work.
The provider worked with and understood the importance of collaborating with health and social care professionals to enhance people’s care.