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Inspection Summary


Overall summary & rating

Good

Updated 28 June 2017

Here2care (Dartford) provides personal care and support to people in their own homes in Dartford, Gravesend and surrounding areas. At the time of the inspection the service was providing care for around 200 people. This included older people, people living with dementia and people with a learning or physical disability.

At the last inspection on 12 and 13 March 2015, the service was rated Good.

At this inspection on 10th May 2017, the service remained Good.

The service was run by a registered manager who was present on the day of our visit. 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 trusted staff and therefore felt safe whilst being supported by them. Staff continued to receive training in how to safeguard people. They knew what signs to look out for which would cause concern and how to report them so the appropriate action could be taken to help keep them safe.

Comprehensive employment checks were carried out on all potential staff at the service, to ensure that they were suitable for their role. There was on-going recruitment to ensure staff were available in sufficient numbers.

Assessments of potential risks had been undertaken in relation to the environment that people lived and worked in and in relation to people’s personal care needs. This included potential risks involved in moving and handling people, supporting people with their personal care needs and with managing medicines. Guidance was in place for staff to follow to make sure that any risks were minimised.

A medicines policy was in place to guide staff. Staff received training in the administration and storage of medicines and a system was in place to regularly check they had the knowledge and competence to manage people’s medicines safely.

New staff received an induction which ensured that they had the skills they required, before they started to support people in their own homes. Staff continued to undertake face to face training in essential areas, their practice was observed and they shadowed senior staff to ensure they were competent. People said that staff had the skills and knowledge they needed to support them.

People said staff asked for their consent before supporting them with their care. Staff had undertaken training in The Mental Capacity Act (MCA). The MCA provides the legal framework to assess people’s capacity to make certain decisions, at a certain time. When people are assessed as not having the capacity to make a decision, a best interest decision is made involving people who know the person well and other professionals, where relevant.

People’s health care and nutrition needs had been assessed and clear guidance was in place for staff to follow, to ensure that their specific health care needs were met. Staff continued to liaise with health professionals when appropriate.

Staff were consistently kind and patient and treated people with dignity and respect. Staff had developed relationships with people and involved them in decisions about their care and support.

People’s care, treatment and support needs were assessed and a plan of care was developed jointly with the person, which included their likes and dislikes. Individual guidance was in place for staff to follow to meet people’s needs.

People were informed of their right to raise any concerns about the service and action was taken to investigate and endeavour to resolve them to people’s satisfaction.

There continued to be robust systems in place to assess and monitor the quality of the service, which included asking people about their experiences. The registered manager had sustained an open and positive culture and staff knew how to put the aims and values of the

Inspection areas

Safe

Good

Updated 28 June 2017

The service remains Good

Effective

Good

Updated 28 June 2017

The service remains Good

Caring

Good

Updated 28 June 2017

The service remains Good

Responsive

Good

Updated 28 June 2017

The service remains Good

Well-led

Good

Updated 28 June 2017

The service remains Good