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Elizabeth Homecare Limited Good

Inspection Summary

Overall summary & rating


Updated 23 December 2017

The inspection took place on 15 and 24 November 2017 and was announced. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the main office.

When we completed our previous inspection in September 2015 we found concerns relating to the way the service was managed and we made recommendations for improvement in the Well led section of the report. During this inspection we checked and found the provider had implemented improvements.

Elizabeth Homecare Limited provides care and support to people who live in their own homes in Goole and surrounding areas. This service is a domiciliary care agency. The service is registered to provide the regulated activity of personal care to people with dementia, learning disabilities or autistic spectrum disorder, mental health, older people and people with a physical disability. The provider also provides an intermediate care service that is designed to help people regain their independence. At the time of our inspection 91 people were receiving a service from this provider.

Not everyone using Elizabeth Homecare Limited receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’, which is help with tasks related to personal hygiene and eating. Where they do receive this type of support we also take into account any wider social care provided.

There was a registered manager registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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.

As part of the legal requirements of their registration, providers must notify us about certain changes, events and incidents that affect their service or the people who use it. During the inspection we found that notifications had not been submitted about an incident relating to the service that was reported to or investigated by the police. We have written to the provider regarding this.

Systems and processes were maintained to record, evaluate and action any outcomes where safeguarding concerns had been raised which helped to keep people safe from avoidable harm and abuse.

The provider ensured there were sufficient skilled and qualified care workers to meet people's individual needs and preferences. People confirmed they received care and support from regular care workers who they knew. Continuous monitoring helped to ensure that visits were not missed.

Risks for people and for staff from their environment were assessed and managed through individual risk assessments. These provided care workers with information to help keep both people and themselves safe from avoidable harm with minimal restrictions in place.

Procedures were in place to guide staff on the safe administration of medicines and staff had received medicines training. People confirmed, and the records we checked showed, that people had received their medicines as prescribed.

The provider had systems and process in place to ensure care workers were appropriately recruited into the service.

Care workers had received support through a regular system of supervisions and appraisals. Competency observations had also been completed to monitor staffs performance and ensure they were providing safe and effective care and support.

Care workers had access to a policy and procedure that provided with them guidance on working with people who might lack capacity under the MCA. Care workers had completed training on the Mental Capacity Act 2005 (MCA) as part of their induction training and were able to discuss the importance of supporting people with their independence.

People had received an assessment of their need to ensure they were suitable for the

Inspection areas



Updated 23 December 2017

The service was safe.

Pre-employment checks had been completed that helped the provider to make safer recruitment decisions.

People received their medicines as prescribed from care workers who had received training and competency checks to ensure they followed best practice guidance and the provider�s policy and procedure.

Safeguarding procedures and policies were robust and staff demonstrated their understanding of these to ensure people were protected from avoidable harm and abuse.

Risks were well managed through individual risk assessments that identified potential issues and provided staff with information to help them mitigate risks.



Updated 23 December 2017

The service was effective.

Care workers completed an induction to their role and to the people they supported.

Care workers were supported with training and supervision to ensure they had the appropriate skills and knowledge to carry out their role.

Guidance was available for care workers to ensure they promoted people's independence and had knowledge of the Mental Capacity Act 2005.

People were supported to maintain their health and wellbeing and had access to health professionals, when needed.



Updated 23 December 2017

The service was caring.

People's individual care and support needs were understood by care workers, and care plans included information to ensure care workers were informed and respectful of people�s cultural and spiritual needs.

People's privacy and dignity was respected by care workers who understood when to maintain confidentiality and when to share any concerns.

People told us they were treated with compassion, dignity and respect and that they were involved any decisions about their care and support.



Updated 23 December 2017

The service was responsive.

People and their relatives were encouraged to be involved in planning their care and support.

Care plans recorded information about people's individual care needs and preferences.

Records showed that people's support was regularly reviewed and any changes which were needed were put in place straight away.

There was a complaints procedure in place and people told us they knew who to speak with if they had a concern or complaint.



Updated 23 December 2017

The service was well led.

The registered manager was aware of their responsibilities as part of their registration with the CQC. However we found the provider had failed to notify the CQC about an incident relating to the service that was reported to or investigated by the police. We have written to the provider regarding this.

Care workers understood their roles and responsibilities and when to escalate any concerns.

The service had oversight at provider level and quality assurance systems and processes with associated action plans were used to maintain standards and to demonstrate a commitment to continuous improvement.