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Homesdale Domiciliary Care Agency Good

We are carrying out a review of quality at Homesdale Domiciliary Care Agency. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 11 August 2017

This unannounced inspection took place on 4 July 2017. At our previous inspection on 20 August 2015 the service was rated ‘Good’.

At this inspection we found the service remained ‘Good’.

The service provides personal care to people in the London borough of Redbridge in a charity run sheltered accommodation scheme. On the day of our visit there were three people using the service for personal care.

On the day of our visit a registered manager was in place. 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, secure and trusted the staff that supported them. Staff had attended safeguarding training and were able to recognise and report any allegations of abuse. They were aware of the risk assessments in place to protect people from avoidable harm.

People told us they were treated with dignity and respect and that their wishes were respected. We found care plans to be person centred and reflective of people’s current social and religious preferences. They were reviewed regularly and detailed people’s physical and emotional support preferences.

There was an effective complaints procedure that was understood by staff and people who used the service.

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

There were enough experienced staff to support people. People told us staff came at the requested time and that there were no missed visits.

Staff underwent robust recruitment checks and a comprehensive induction when they began to work at the service. They received mandatory training and any specific training including the MCA 2005. In addition they received annual appraisal and regular supervision to ensure they developed and kept up to date with practice.

People, staff and relatives thought the service was well run by an approachable registered manager and told us they would not hesitate to raise and concerns. The management ensured the quality of care delivered was monitored and improved.

Inspection areas

Safe

Good

Updated 11 August 2017

The service remains safe. People told us they trusted staff who supported them. Staff had undergone safeguarding training and were aware of the policies and procedures in place to protect people from avoidable harm.

Medicines were managed safely by staff who had undergone appropriate training.

Risk assessments were in place to protect people from avoidable harm.

People were protected from the risk of infection because appropriate guidance was followed.

There were safer recruitment practices.

Effective

Good

Updated 11 August 2017

The service remains effective. People told us they were supported by staff who had been trained to support them effectively.

Staff were supported by means of annual appraisal, regular supervision and training.

Staff understood their role in ensuring people were protected from unnecessary restraint and had attended MCA 2005 training.

People were support to choose and eat food that met their nutritional and cultural specific requirements

Caring

Good

Updated 11 August 2017

The service remains caring. People told us they were treated with dignity and respect by staff polite and caring staff.

Staff were aware of people’s preferences and ensured they supported people accordingly.

Responsive

Good

Updated 11 August 2017

The service remains responsive. People told us staff listened to them and came at the agreed visit times.

Care plans were person centred and included people’s physical, emotional and spiritual needs. These were know by staff and used effectively to deliver care.

People were aware of the complaints process and told us they would not hesitate to make a complaint.

Well-led

Good

Updated 11 August 2017

The service remains well led. People and their relatives knew the manger by name and thought she was approachable.

There were effective systems in place to ensure the quality of care delivered monitored and improved.

People , their relatives and staff told us their views were listened to and acted upon when possible.