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Inspection Summary


Overall summary & rating

Good

Updated 12 December 2018

Ethos Care 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 adults. At the time of our inspection there were 21 people receiving a service from the agency. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

The home 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 continued to be supported by staff who had been trained to recognise and report any concerns of abuse or poor practice. People had their risks understood and staff knew the actions needed to minimise risks of avoidable harm whilst respecting people’s freedoms and choices. Medicines had been administered safely by staff who were trained and had their competencies regularly checked. Infection control systems and practices were effective in reducing preventable infections.

Staff had been recruited safely including checks with the disclosure and barring service to ensure they were suitable to work with vulnerable adults. Staffing levels enabled a flexible approach to meeting people’s care needs. Staff induction, on-going training and support enabled them to carry out their roles effectively.

Assessments had been completed initially which captured peoples care needs and choices and included any necessary equipment such as telephone alarm systems. This information had been used to create person centred care plans that were person centred and reflected people’s individual life style choices and communication skills. People had their eating and drinking needs understood and when needed additional support had been requested of GP’s and speech and language therapists.

The care team worked effectively with other professionals such as district nurses and occupational therapists enabling positive outcomes for people. When people had changes in their health they had been supported to access healthcare. People had opportunities to be involved in end of life planning and files contained information about people’s decisions about resuscitation.

People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care was provided in a kind and compassionate way which recognised and respected people’s right to privacy, dignity and independence. People felt involved in decisions about their care and felt able to raise a concern knowing it would be listened to and actioned.

The management of the home promoted an open and transparent culture which encouraged and enabled people, their families and the staff team to be involved and engaged with service delivery and development. Staff understood their roles and responsibilities and spoke positively about the management of the service.

Quality assurance processes were effective in ensuring regulations were met and sustained. When areas were highlighted as requiring improvement actions had been taken appropriately and had improved outcomes for people.

Information sharing with other professionals and agencies enabled the service to keep up to date with best practice and new innovations.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 12 December 2018

The service has improved to good.

People had their risks understood and actions in place minimised the risk of avoidable harm.

Effective

Good

Updated 12 December 2018

The service remains effective

Caring

Good

Updated 12 December 2018

The service remains caring.

Responsive

Good

Updated 12 December 2018

The service remains responsive.

Well-led

Good

Updated 12 December 2018

The service remains well led.