We carried out a review of the data available to us about Excel24/7 healthcare Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Excel24/7 healthcare Ltd, you can give feedback on this service.
Excel24/7 Healthcare Ltd is a domiciliary care agency providing personal care to people living in their own homes. 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. At the time of our inspection there were 8 people using the service.
People’s experience of using this service and what we found
Risks assessments for specific health conditions were not always in place to guide staff should a person’s condition deteriorate. We recommended the provider completes individual risk assessments for people with specific health conditions. Accidents and incidents were not always recorded. This was rectified during the inspection process. All required checks had been completed prior to staff starting employment and there was a robust induction programme. Systems and processes were in place to safeguard people from abuse and staff had good knowledge of the steps to take to protect people. People that use the service felt safe. Medicines were well managed and risks to people were identified. Risks associated with COVID-19, and other infectious diseases, were identified and managed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s needs were assessed prior to them starting to use the service. Detailed care records were in place to guide staff on the care and support people needed. Staff had the training and support they needed to carry out their roles effectively. Staff worked alongside other agencies to provide joined up, effective care.
People were treated well, and their individuality was respected; They told us staff were kind, polite and caring. Care records indicated how best to communicate with people and how staff could support people to express their wishes. People and their relatives spoke highly of this service and the registered manager conducted regular spot checks to ensure staff were treating people with dignity.
People received personalised care that took account of their needs, wishes and preferences. The provider was following the Accessible Information Standard. People were involved in the care planning process and relatives felt staff were responsive to changes. There was a system for logging and responding to complaints.
The registered manager understood their duty of candour, however there was one incident that should have been reported that had been overlooked. This was rectified during the inspection process. There was a range of oversight, quality, and auditing. People spoke positively about the service they received and described the registered manager as nice, helpful, and organised. Staff also spoke highly of the management team and felt able to approach them should they have any concerns.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 15 June 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service, the length of time since registration and to provide a rating for the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.