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Great Care Home Health care Services Ltd Good

Inspection Summary


Overall summary & rating

Good

Updated 5 December 2017

This inspection took place on 14 September 2017 and was announced. We gave the provider 48 hours’ notice that we would be visiting. This was because the provider offers a support service to people living in their own homes and we wanted to make sure that people and staff would be available to speak with us.

Great Care Home Health Care Services Ltd is a community based adult social care service, registered to provide personal care for persons within their own home. They currently provide a service for 20 people.

There was a registered manager in post at the time of our inspection. 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.

Great Care was last inspected in July 2017. This inspection was prompted in part by the notification of an incident notifying us of the death of a person that was receiving a service. This incident is still being investigated and as a result this inspection did not examine the circumstances surrounding the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of the service and the safety of

people. The service was placed in to special measures and served with a warning notice under Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Good Governance. And Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Safe Care and Treatment.

At this inspection we saw that the provider had met the requirements of the warning notices and will be exiting special measures.

There were quality assurance and auditing systems in place to ensure continual development of the service for the people being supported by the provider, although improvement needed to be made regarding their implementation.

People were kept safe. Staff had received training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. People were kept safe by staff that were able to recognise the signs of abuse and raise concerns if needed. Staff were provided with sufficient guidance on how to support people’s medical needs.

People were supported by staff that had been safely recruited. People felt they were supported by staff with the appropriate skills and knowledge to care and support them.

Staff had the knowledge and skills to enable them to care for people in a way that met their individual needs and preferences. People were supported to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS).

People and relatives were involved in the development of care plans. People’s specific needs were identified and personalised care was provided in line with their needs.

Staff were caring and treated people with dignity and respect. People’s choices and independence were respected and promoted and staff responded to people’s care and support needs.

People and staff felt they could speak with the provider about any concerns and felt they would be listened to and their concerns would be addressed.

Inspection areas

Safe

Good

Updated 5 December 2017

The service was safe.

People were protected from the risk of harm and abuse because the provider had effective systems in place and staff were aware of the processes they needed to follow when concerns were identified.

Risks to people were appropriately assessed and managed.

People were supported by adequate numbers of staff on duty so that their needs would be met.

People were kept safe as staff knew how to support them in case of an emergency.

Effective

Good

Updated 5 December 2017

The service was effective.

People’s needs were being met because staff had effective skills and knowledge to meet those needs.

People’s consent was obtained before care and support was provided by staff.

People were involved in deciding how they received care and support.

Caring

Good

Updated 5 December 2017

The service was caring.

People felt that staff were kind and considerate.

People were treated with dignity and respect.

People were supported to maintain their independence.

Responsive

Good

Updated 5 December 2017

The service was responsive.

Staff were responsive when supporting people’s changing needs.

People were supported to make decisions about their lives and discuss things that were important to them.

People were supported to raise concerns or complaints when needed.

Well-led

Requires improvement

Updated 5 December 2017

The service was not always well-led.

Auditing systems were in place to monitor and manage the quality of service provided, although they were not always being used effectively.

Staff were supported by the provider to carry out their roles effectively.

People and staff knew the registered manager and had a positive relationship with them.