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Happy Family Care Services Limited

Overall: Good read more about inspection ratings

Room 6, Hill House, Bishopsford Road, Morden, SM4 6BL 07799 486781

Provided and run by:
Happy Family Care Services Limited

Important: This service was previously registered at a different address - see old profile

All Inspections

During an assessment under our new approach

Date of assessment: 1 April- 30 May 2025. Happy Family Care Services Limited is a care at home service for older people. The service provides support to 21 people. We undertook this assessment to follow up on concerns identified at the last assessment.

 

At our last assessment in January 2023, this service was rated requires improvement overall. The key questions for safe, effective and well-led were rated required improvement and the key questions caring and responsive were rated good. At that assessment we found breaches of regulation relating to consent, safe care and treatment and staffing. At this assessment we found the provider had made improvements and they were no longer in breach of regulations.

The provider had a proactive and positive culture of safety with clear systems in place for reporting, investigating and learning from incidents. Lessons were learnt to continually identify and embed good practice. Safe systems of care were established and there were clear safeguarding procedures in place that were followed when needed. Risks to people’s health and safety, which included their environments, were assessed and managed. The provider ensured there were enough suitable staff in place to support people. Staff were supported through an ongoing system of training and supervision. Infection control risks were properly managed and people’s medicines were managed safely.

 

People’s needs were assessed before they started using the service and on an ongoing basis to ensure they were achieving the best outcomes. The provider worked with other professionals where needed in meeting people’s needs and this included meeting their health goals. Care was provided in accordance with legislation and current standards in line with their valid consent.

 

The provider had a shared vision in the running and management of the service. The registered manager was capable and passionate about his purpose, which involved setting up a service to meet the unique needs of the Tamil community. He had originally provided a day centre service to older people in his local community and opened this service at the direct request of people he worked with. This included ensuring people’s cultural and language needs were met by staff who understood these. Staff were clear about their roles and responsibilities and told us they felt confident their feedback and concerns were listened to. The provider carried out an ongoing system of audits to ensure improvements were made where needed and professionals spoke positively about their working relationship with the provider.

24 January 2023

During an inspection looking at part of the service

About the service

Happy Family Care Services is a domiciliary care agency. It provides personal care to people living in their own homes. This service specialises in supporting people of South Asian ethnicity. At the time of the inspection, 13 people were receiving support from this provider.

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.

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

We found evidence during our inspection of multiple breaches of regulation and the need for this provider to make improvements.

Individual and environmental risks to people were not always assessed as necessary making sure staff supported people safely. Systems and processes in place did not ensure that staff regularly received one to one meetings with their line manager and had been appropriately observed in their job. Training provided for staff were not meeting their role expectations. MCA principles were not always appropriately applied in practice to support people in the decision making process. There was a lack of quality assurance processes in place to ensure effective care delivery.

We were not assured that systems and processes in place were safeguarding people as necessary. Safe medicines management practices were not always followed by the provider. The managers of the service were not always clear about their role responsibilities. We made recommendations about this.

Family members felt that the care provided for people was good and that staff adhered to people's wishes and choices with respect. They told us that staff attended the visits as and when necessary.

Staff were subject to pre-employment checks before they started working with people. The provider followed current best practice guidelines regarding the prevention and control of infection. Staff supported people with their healthcare needs when they needed such assistance. Initial assessments were carried out by the provider making sure they were able to support people effectively.

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 overall rating for this service was requires improvement (published 20/08/2021). At this inspection the overall rating remained the same.

Why we inspected

We carried out the inspection to check whether the provider had embedded and sustained improvements that we had noted at our previous inspection.

We did not inspect the key questions of caring and responsive. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Happy Family Care Services on our website at www.cqc.org.uk.

Enforcement and recommendations

We identified four breaches in relation to safe care, staffing, need for consent and governance systems. We also recommended the provider to review their processes in place in relation to safeguarding of people, medicines and management of the service making sure they effectively monitored the quality and safety of the care people received.

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 from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.