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Archived: Linford Homecare Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 17 March 2016

This inspection took place on 22 and 25 January 2016 and was announced.

Linford Homecare is a domiciliary care agency registered to provide the regulated activity of personal care. The agency provides personal care for adults with learning and physical disabilities and older people, including people living with dementia. At the time of our visit there were 13 people using the service.

The service had a registered manager. 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.

Staff were trained in how to protect people from abuse and harm. They knew how to recognise signs of abuse and how to use the whistleblowing procedure. Risk assessments were centred on the needs of the individual and any potential risks to people had been identified. We saw that risk management plans had been completed to enable them to live as safely and independently as possible. There were safe recruitment procedures in place. All staff were subject to a probation period and to disciplinary procedures if they did not meet the required standards of practice. Rotas showed there were sufficient numbers of staff available to meet people’s care and support needs. Medicines were stored, administered and recorded safely and correctly. Staff were trained in the safe administration of medicines and maintained relevant records that were accurate.

People told us and records confirmed that all of the staff received regular training in mandatory subjects. In addition, we saw that specialist training specific to the needs of people using the service had been completed. This had provided staff with the knowledge and skills to meet people’s needs in an effective and individualised way. People’s consent to care and treatment was sought in line with current legislation. People told us that with support from staff, they received a wholesome and balanced diet. As part of their independent living skills and development, some people were supported to prepare and cook their own meals. People told us their food was varied with options always available. There were regular reviews of people’s health and the service responded immediately to people’s changing needs. People were assisted to attend appointments with various health and social care professionals to ensure they received care,

The staff team were passionate about providing a service that placed people and their families at the very heart of their care. Without exception, people and relatives praised the staff for their caring, compassionate and professional approach. Everyone we spoke with said that staff went over and beyond what was expected of them and they were like family. Staff were exceptional in enabling people to remain independent and had an in-depth appreciation of people’s individual needs around privacy and dignity.

People received care that was responsive to their needs and centred around them as individuals. Their needs were assessed and care plans gave clear guidance on how they were to be supported. Records showed that people and their relatives were involved in the assessment process and review of their care. The service had an effective complaints procedure in place and we saw appropriate systems for responding to any complaints the service received. Staff were responsive to people’s worries, anxieties and concerns and acted promptly to resolve them.

People receiving support, relatives and staff consistently told us that the service was well run and provided positive leadership. There was stable and positive leadership that inspired staff to provide high quality care to people. People and their relatives were able to make suggestions and actions were taken as a result. Quality monitoring procedures were in place an

Inspection areas

Safe

Good

Updated 17 March 2016

This service was safe.

People had confidence in the service and told us they felt safe. Staff were knowledgeable about the principles and reporting requirements of safeguarding people from abuse.

Risks were assessed and managed effectively.

There were safe and robust recruitment procedures in place and staffing levels were sufficient to meet people�s needs.

People�s medicines were managed safely by staff who had received appropriate training.

Effective

Good

Updated 17 March 2016

This service was effective.

Staff had the specialist knowledge and skills required to meet people�s individual needs and promote their health and wellbeing.

Staff obtained people�s consent to care and treatment.

People were supported to be able to eat and drink sufficient amounts to meet their needs.

People were referred to healthcare professionals promptly when needed.

Caring

Outstanding

Updated 17 March 2016

This service was very caring.

People told us that the staff were exemplary in how they treated people. Without exception, people and relatives praised the staff for their kindness and compassion.

Staff were intuitive and were able to anticipate what people wanted and responded appropriately to them with warmth and professionalism. .

Staff were passionate about providing people with care and support that was based on mutual respect and equality. People and relatives told us they were involved in making decisions about their care and were always listened to by the service. They said the service was excellent at making sure they had been involved in determining the care they needed.

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The service has a strong, visible person centred culture and staff performed duties that were over and beyond their role.

Responsive

Good

Updated 17 March 2016

This service was responsive.

People told us the service engaged consistently and meaningfully with them and their families.

People�s care was based around their individual needs and aspirations. People were supported to make choices and have control of their lives.

Complaints and comments made were used to improve the quality of the care provided.

Well-led

Good

Updated 17 March 2016

This service was well led.

Staff said they felt supported and were aware of their rights and their responsibility to share any concerns about the care provided at the service.

The registered manager reviewed the way the service worked in order to improve how people�s needs were met.

There were effective quality assurance systems in place to drive improvements at the service.

The service was committed to putting people at the centre of the care they received and they included people in the decision making process. Their voice was used in making improvements to the service.