You are here

Archived: Homecare Unique Limited Good

This service is now registered at a different address - see new profile

Reports


Inspection carried out on 7 October 2016

During a routine inspection

We previously carried out an announced comprehensive inspection of this agency on 7 July 2015. Breaches of legal requirements were found. We took enforcement action and required the provider to make improvements to become compliant with Regulation 12 and 19. This was a comprehensive inspection and included an inspection of the previous breaches of legal requirements. We found that improvements had been made.

We inspected this service on 07 October 2016. The inspection was announced. The provider was given two working days’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be available at the locations office to see us. Homecare Unique Limited is a small domiciliary care agency which provides personal care and support for adults in their own homes, some of whom were receiving care and support at the end of their life. At the time of our inspection they were supporting eight people.

The provider was also the registered manager of the service. 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 received a service that was safe. Staff and the registered manager had received training about protecting people from abuse, and they knew what action to take if they suspected abuse. The safety of staff who were working out in the community had been assessed with systems put into place to reduce the risk to staff. Risks to people’s safety had been assessed and recorded with measures put into place to manage any hazards identified.

People received support and assistance from enough staff to fulfil their expected care packages and meet their assessed needs. Staff had received the training they required to meet people’s needs including any specialist needs. Staff had a clear understanding of their roles and people’s needs. Staff were supported in their role from the registered manager. Recruitment practices were safe and checks were carried out to make sure staff were suitable to work with people who needed care and support.

People using the service were treated with kindness and compassion by staff who understood the importance of protecting people’s privacy. People were treated with dignity and respect. Staff and the registered manager understood the principles of the Mental Capacity Act 2005 and people said they were always asked their consent before any care or support tasks were carried out.

People’s needs had been assessed to identify the care and support they required. Care and support was planned with people and reviewed to make sure people continued to have the support they needed. Detailed guidance was provided to staff within people’s homes about how to provide all areas of the care and support people needed. These were reviewed as and when needed.

People were supported to remain as healthy as possible with the support from staff and the relevant health care professionals. Staff supported people to communicate with the relevant health care professionals.

Systems were in place for monitoring the quality and safety of the service and assessing people’s experiences. These included spot checks, annual questionnaires and observation visits from the registered manager.

Inspection carried out on 7 July 2015

During a routine inspection

The inspection was carried out on 7 July 2015. Our inspection was announced. Forty eight hours’ notice of the inspection was given to ensure that the people we needed to speak to were available. Homecare Unique Limited provides care to people who live in the community in their own homes. At the time of our inspection two people received care and support from the service. The service provided support to older people within their own home.

Homecare Unique Limited 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 that they felt safe. Staff had received training about protecting people from abuse, and they knew what action to take if they suspected abuse. However, the staff did not have access to the Local Authorities policies and procedures relating to safeguarding.

Recruitment practices were not following the law, published guidance and best practice.

Staff were aware of their responsibilities regarding reporting any accidents and incidents. A system was not in place to monitor or deal with accidents and incidents, however there was a system to record accidents and incidents.

Staff did not always have suitable information and guidance to safely work with people in relation to personal protective equipment (PPE) and lone working. Health and safety risk assessments relating to staff had not been completed.

People’s mental capacity had been assessed and recorded within their care plans which staff followed. However, some staff did not understand their responsibilities under the Mental Capacity Act 2005. We have made a recommendation about this.

Quality audits completed by the registered manager were not always effective in identifying areas for improvement. For example, the knowledge of staff regarding the Mental Capacity Act.

Potential risks to people in their everyday lives had been identified and had been assessed in relation to the impact it had on people. Staff were observed following the risk assessments which were in place for people.

People’s health was monitored and when it was necessary, health care professionals were involved to make sure people remained as healthy as possible.

Staff told us they felt supported by the management team. Staff were trained to meet people’s needs and were supported through supervision and team meetings, to carry out their roles.

The agency employed sufficient numbers of staff to meet people’s needs. People told us staff stayed for the full length of time which had been allocated.

People received their medicines safely when they needed them. Staff had received information regarding the safe administration of medicines which was checked by the registered manager.

People’s privacy and dignity was supported by staff at all times. People told us staff were kind and caring towards them.

Records relating to people were stored confidentially. Staff had received training regarding confidential material and knew when things were to be kept confidential.

People were involved within their assessment and care plan. Care plans were reviewed with people when needed.

We found 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.