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Inspection Summary


Overall summary & rating

Good

Updated 28 February 2019

About the service: Harrogate Care at Home provides people with personal care needs in their own home. Some people were supported whilst their main family carer took a break from their caring role. 43 people used the service at the time of the inspection. The majority of people receiving personal care were older people, people with a physically disability or people living with dementia.

People’s experience of using this service:

People and their relatives were confident they were in ‘safe hands’. Safe staffing levels were maintained. Care visits were arranged to ensure staff had sufficient time to support them safely. Risks to people were identified in their care plans. Risk assessments were not always in place to help identify risks and guide staff in how to manage these.

We have made a recommendation about medicines best practice guidance.

People received an assessment prior to receiving support to help staff understand their needs and preferences. People signed their care plans to indicate their consent to this. Records did not always reflect that the provider had followed the Mental Capacity Act 2005 for people that may lack capacity.

Staff received training and support to assist them with understanding and carrying out their roles.

The provider promoted the values of dignity and respect. People felt these values were reflected in the care they received. Staff understood people’s preferences and how to support them effectively while promoting their independence.

People received care personalised to their needs. Staff understood their preferences and adapted people’s care depending on whether they were having a ‘good’ or ‘bad’ day.

The provider was proactive in seeking feedback from people and their relatives. Complaints were addressed promptly.

The registered manager had completed a range of checks to help maintain safety and quality across the service. They planned to review these to ensure they covered the points we identified.

People and staff were involved in the running of the service. Surveys were used to monitor the experience of people using the service. Staff attended team meetings, where they had the opportunity to make suggestions.

Staff worked with local charities to support people. They understood the role of other professionals, acting on their recommendations and seeking advice when this was needed.

More information is in the Detailed Findings section below.

Rating at last inspection: Good (report published 29 June 2016)

Why we inspected: This was a planned inspection based on the previous rating of the service.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 28 February 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 28 February 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 28 February 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 28 February 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 28 February 2019

The service was well-led

Details are in our Well-Led findings below.