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Archived: Hereford North Domiciliary Care

Overall: Good read more about inspection ratings

Community Centre, School Road, Leominster, Herefordshire, HR6 8NJ

Provided and run by:
Midland Heart Limited

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

All Inspections

6 January 2016

During a routine inspection

This inspection took place on 6 January 2016 and was announced.

Hereford North provides personal care to people with a learning disability who live in their own homes in Herefordshire. 18 people were receiving support at the time of our inspection.

There was a registered manager in post. 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 were protected from harm and abuse because they were supported by staff who knew how to recognise and respond appropriately. Staff did not start work until appropriate checks had been made to make sure they were suitable to support people in their homes.

People and those that mattered to them were involved in planning their own care. Staff understood how to support the people they were assisting whilst protecting their human rights. People had their individual needs met by staff who knew them and responded to any changes in need or wellbeing. Staff sought medical assistance and advice when required. People had regular access to healthcare facilities to maintain well-being.

Staff supported people to maintain their independence and to develop new skills and interests. Staff provided care which was kind, compassionate and promoted people’s privacy and dignity. People were encouraged to make their own choices and decisions.

Staff received induction and ongoing training in order for them to provide care. Staff were supported by the management team and received regular feedback on performance. The managers were approachable and accessible to people and staff.

The provider completed regular quality checks to ensure that good standards of care were maintained.

29 January 2014

During a routine inspection

We spoke with one person who was using the service on the telephone to get their views. Other people were not available to speak with us or were unable to due to their communication needs. The person we spoke with told us they liked the staff that supported them and they had a busy life. Two people's relatives were positive overall but both gave examples of improvements that could be made.

People generally experienced good outcomes and had their needs met in the way they preferred. The provider's systems to plan and review people's support needs were being improved.

Recruitment procedures were effective. Staff said they felt supported and regular supervision sessions had been provided to most staff in recent weeks. The induction was not in line with the Common Induction Standards the Government expects all care providers to use and there were some gaps in training but the provider was addressing these shortfalls. Observation assessments of staffs' ability to do their job had not been carried out but were due to start.

There were systems in place to monitor the quality of the service people received but there was scope to improve these.

6 December 2011

During an inspection looking at part of the service

We did this review to check what improvements Midland Heart Care & Support had made following our previous review of the service in March 2011.

We met three people who use the service in their home and saw records at the office about other people's support needs and achievements. We also spoke with four staff, the quality assurance manager and the service manager.

The people we met were not able to tell us about their experiences because of their conditions. We saw support staff engaging with them in a calm and respectful way.

We found that people using the service had started to get the benefits of changes that had recently been introduced such as higher staffing levels, better support planning and new social opportunities. People were being supported to gain life skills and make decisions about how to improve their homes and plan for the future.

We issued compliance actions at the last inspection for the six outcome areas we assessed. At this inspection we found that the owner's action plan had been carried out and a reorganisation had resulted in a more effective senior structure. This should allow the service to implement the planned expansion whilst keeping the required level of leadership and monitoring of the outcomes for people using the service.

Concerns and complaints had been responded to quickly and systems for monitoring the quality of the service were now in place. Plans were in place to fill the gaps in staff training and staff supervision and support had been improved.

3, 8 February 2011

During a routine inspection

The people we spoke to liked their regular staff and felt they treated them with respect. Some people said they were being supported to gain life skills and they planned to move on in the future to live more independently. Feedback from people's relatives was mixed, with some families being very positive about all areas and others reporting that staff consistency was not always provided and that complaints about this had not led to lasting improvements.