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Gold Hill Homecare Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 August 2019

Gold Hill Homecare is registered to provide personal care and support to people in their own homes. 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. At the time of the inspection the service supported 29 people across south Buckinghamshire.

People’s experience of using this service and what we found

People told us they were supported by staff who were kind, caring and compassionate. Comments from people included, “I can’t tell you how brilliant they are,” “They’re wonderful” and “They’re never anything but professional.”

People were not always protected from unsafe medicine management. The service did not fully comply with national guidelines regarding records relating to medicines. Some people were supported with the administration of their prescribed medicines without this being identified as required and no medicine administration record being in place.

People were supported by staff who had received initial and ongoing training to ensure they had the right skills and attributes to work with them.

People received effective care. Staff worked with external health and social care professionals to ensure people’s needs were met. People were supported to have maximum choice and control of their lives and staff supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported support this practice.

People were encouraged to be independent and supported to engage in community activities they enjoyed.

Staff were happy in their role and felt fully supported by the registered manager. Staff told us there was good team work and morale was high. We found all staff demonstrated a commitment to provide a high-quality service and improve the quality of life experienced by people they supported.

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 this service was Good (published 28 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to medicine management and administration at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 16 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 August 2019

The service was not always well-led.

Details are in our well-Led findings below.